{
  "resourceType": "Questionnaire",
  "id": "CardiologyOHAuthored",
  "language": "en",
  "text": {
    "status": "extensions",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire CardiologyOHAuthored</b></p><a name=\"CardiologyOHAuthored\"> </a><a name=\"hcCardiologyOHAuthored\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en</p></div><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" class=\"xhtTableBorder1\"><tr class=\"xhtRowBorder2\"><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Other attributes of the item\">Flags</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1.png)\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> </td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Ontario Health–authored cardiology referral questionnaire example. This is the manually refined example based on the OH Form Designer output, updated to better align with the profile, terminology, intended rendering expectations, and note-info usage.</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Questionnaire</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">http://ontariohealth.ca/fhir/eforms/Questionnaire/CardiologyOHAuthored#1.2.0</td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.patient_header\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> patient_header</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Patient Information</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.patient_surname\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">patient_header / </span>patient_surname</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Surname:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.patient_firstname\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">patient_header / </span>patient_firstname</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">First Name:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.patient_date_of_birth\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">patient_header / </span>patient_date_of_birth</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">DOB:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.patient_gender\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">patient_header / </span>patient_gender</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Gender:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.patient_gender\">3 options</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck111.png)\" id=\"item.patient_hc_pc\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">patient_header / </span>patient_hc_pc</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">HN PC:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Max Length: 2</td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.patient_hc_number\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">patient_header / patient_hc_pc / </span>patient_hc_number</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">HN:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Max Length: 10</td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1100.png)\" id=\"item.patient_hc_vc\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">patient_header / patient_hc_pc / </span>patient_hc_vc</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">HN VC:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck111.png)\" id=\"item.patient_address_line1\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">patient_header / </span>patient_address_line1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Address (Line 1):</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.patient_address_line2\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">patient_header / patient_address_line1 / </span>patient_address_line2</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Address (Line 2):</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.patient_address_city\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">patient_header / patient_address_line1 / </span>patient_address_city</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">City:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.patient_address_province\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">patient_header / patient_address_line1 / </span>patient_address_province</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Province:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Max Length: 2</td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1100.png)\" id=\"item.patient_address_postalcode\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">patient_header / patient_address_line1 / </span>patient_address_postalcode</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Postal Code:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.patient_phone_mobile\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">patient_header / </span>patient_phone_mobile</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Mobile #:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.patient_phone_home\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">patient_header / </span>patient_phone_home</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Home #:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.patient_phone_business\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">patient_header / </span>patient_phone_business</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Business #:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.patient_email\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">patient_header / </span>patient_email</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Email:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.additionalinfo_header\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> additionalinfo_header</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">[Optional] Additional Patient Information</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.additionalinfo_sexassignedatbirth\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / </span>additionalinfo_sexassignedatbirth</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Sex assigned at birth:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.additionalinfo_sexassignedatbirth\">4 options</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck111.png)\" id=\"item.additionalinfo_pronouns\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / </span>additionalinfo_pronouns</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Pronouns:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.additionalinfo_pronouns\">4 options</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1100.png)\" id=\"item.additionalinfo_pronouns_other\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / additionalinfo_pronouns / </span>additionalinfo_pronouns_other</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Other pronouns:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.additionalinfo_pronouns\">additionalinfo_pronouns</a> = other (NullFlavor#OTH)</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck111.png)\" id=\"item.additionalinfo_preferredlanguage\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / </span>additionalinfo_preferredlanguage</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Preferred language:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.additionalinfo_preferredlanguage\">3 options</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.additionalinfo_preferredlanguage_specify\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / additionalinfo_preferredlanguage / </span>additionalinfo_preferredlanguage_specify</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Specify:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.additionalinfo_preferredlanguage\">additionalinfo_preferredlanguage</a> = other (NullFlavor#OTH)</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1100.png)\" id=\"item.additionalinfo_preferredlanguage_translatorrequired\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / additionalinfo_preferredlanguage / </span>additionalinfo_preferredlanguage_translatorrequired</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Translator required</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.additionalinfo_preferredlanguage\">additionalinfo_preferredlanguage</a> = other (NullFlavor#OTH)</span><br/>Options: <a href=\"#opt-item.additionalinfo_preferredlanguage_translatorrequired\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck111.png)\" id=\"item.additionalinfo_bestmethodofcontact\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / </span>additionalinfo_bestmethodofcontact</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Best method of contact:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.additionalinfo_bestmethodofcontact\">4 options</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1100.png)\" id=\"item.additionalinfo_bestmethodofcontact_voicemails\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / additionalinfo_bestmethodofcontact / </span>additionalinfo_bestmethodofcontact_voicemails</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Voicemails acceptable</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.additionalinfo_bestmethodofcontact\">additionalinfo_bestmethodofcontact</a> = Mobile (ContactPointUse#mobile)</span><br/>Options: <a href=\"#opt-item.additionalinfo_bestmethodofcontact_voicemails\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.additionalinfo_preferredname_select\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / </span>additionalinfo_preferredname_select</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Preferred name</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.additionalinfo_preferredname_select\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.additionalinfo_preferredname\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / </span>additionalinfo_preferredname</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Prefered name String</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.additionalinfo_preferredname_select\">additionalinfo_preferredname_select</a> = Preferred Name</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.additionalinfo_alternatecontact_select\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / </span>additionalinfo_alternatecontact_select</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Alternate contact</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.additionalinfo_alternatecontact_select\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.additionalinfo_alternatecontact_name\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / </span>additionalinfo_alternatecontact_name</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Name:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.additionalinfo_alternatecontact_select\">additionalinfo_alternatecontact_select</a> = Alternate contact</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.additionalinfo_alternatecontact_phone\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / </span>additionalinfo_alternatecontact_phone</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Alternate contact phone #:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.additionalinfo_alternatecontact_select\">additionalinfo_alternatecontact_select</a> = Alternate contact</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.additionalinfo_alternatecontact_relationship\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / </span>additionalinfo_alternatecontact_relationship</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Relationship:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.additionalinfo_alternatecontact_select\">additionalinfo_alternatecontact_select</a> = Alternate contact</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.additionalinfo_alternatecontact_bookingcontact\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / </span>additionalinfo_alternatecontact_bookingcontact</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Is Alternate contact the appointment booking contact?:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.additionalinfo_alternatecontact_select\">additionalinfo_alternatecontact_select</a> = Alternate contact</span><br/>Options: <a href=\"#opt-item.additionalinfo_alternatecontact_bookingcontact\">2 options</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.additionalinfo_unsafecontacts_select\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / </span>additionalinfo_unsafecontacts_select</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Unsafe contact persons (do not speak with)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.additionalinfo_unsafecontacts_select\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.additionalinfo_unsafecontacts_speakwithpatientdirectly\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / </span>additionalinfo_unsafecontacts_speakwithpatientdirectly</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Only speak with patient directly</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.additionalinfo_unsafecontacts_select\">additionalinfo_unsafecontacts_select</a> = Unsafe contact persons (do not speak with)</span><br/>Options: <a href=\"#opt-item.additionalinfo_unsafecontacts_speakwithpatientdirectly\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.additionalinfo_unsafecontacts_donotspeakwith\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / </span>additionalinfo_unsafecontacts_donotspeakwith</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Do not speak with:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.additionalinfo_unsafecontacts_select\">additionalinfo_unsafecontacts_select</a> = Unsafe contact persons (do not speak with)</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.additionalinfo_accessibilityconcernsordisability_selectt\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / </span>additionalinfo_accessibilityconcernsordisability_selectt</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Accessibility concerns or disability</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.additionalinfo_accessibilityconcernsordisability_selectt\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.additionalinfo_accessibilityconcernsordisability\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / </span>additionalinfo_accessibilityconcernsordisability</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Accessibility concerns Options</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.additionalinfo_accessibilityconcernsordisability_selectt\">additionalinfo_accessibilityconcernsordisability_selectt</a> = Accessibility concerns or disability</span><br/>Options: <a href=\"#opt-item.additionalinfo_accessibilityconcernsordisability\">4 options</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.additionalinfo_specialconsiderations_select\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / </span>additionalinfo_specialconsiderations_select</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.additionalinfo_specialconsiderations_select\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.additionalinfo_specialconsiderations\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / </span>additionalinfo_specialconsiderations</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Details of special considerations:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.additionalinfo_specialconsiderations_select\">additionalinfo_specialconsiderations_select</a> = Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.additionalinfo_sendcopiestoadditionalproviders\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / </span>additionalinfo_sendcopiestoadditionalproviders</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Send copies of reports to additional providers</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.additionalinfo_sendcopiestoadditionalproviders\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck101.png)\" id=\"item.additionalinfo_sendcopiestoadditionalproviders_names\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / </span>additionalinfo_sendcopiestoadditionalproviders_names</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Name(s):</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.additionalinfo_sendcopiestoadditionalproviders\">additionalinfo_sendcopiestoadditionalproviders</a> = Send copies of reports to additional providers</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1010.png)\" id=\"item.additionalinfo_sendcopiestoadditionalproviders_contactinfo\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / additionalinfo_sendcopiestoadditionalproviders_names / </span>additionalinfo_sendcopiestoadditionalproviders_contactinfo</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Contact information:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.additionalinfo_sendcopiestoadditionalproviders\">additionalinfo_sendcopiestoadditionalproviders</a> = Send copies of reports to additional providers</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1000.png)\" id=\"item.additionalinfo_sendcopiestoadditionalproviders_ispcp\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">additionalinfo_header / additionalinfo_sendcopiestoadditionalproviders_names / </span>additionalinfo_sendcopiestoadditionalproviders_ispcp</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">This is the Primary Care Provider</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.additionalinfo_sendcopiestoadditionalproviders\">additionalinfo_sendcopiestoadditionalproviders</a> = Send copies of reports to additional providers</span><br/>Options: <a href=\"#opt-item.additionalinfo_sendcopiestoadditionalproviders_ispcp\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.102173268919\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 102173268919</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Referral Details</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck111.png)\" id=\"item.cardio_triagecons\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / </span>cardio_triagecons</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Triage Considerations</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1111.png)\" id=\"item.referral_requestedpriority\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / cardio_triagecons / </span>referral_requestedpriority</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Requested Priority:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.referral_requestedpriority\">2 options</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck11100.png)\" id=\"item.referral_requestedpriority_urgentreason\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / cardio_triagecons / referral_requestedpriority / </span>referral_requestedpriority_urgentreason</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Reason for urgent triage</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.referral_requestedpriority\">referral_requestedpriority</a> = Urgent (RequestPriority#urgent)</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.referral_secondopinion\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / cardio_triagecons / </span>referral_secondopinion</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Second Opinion</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.referral_secondopinion\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1100.png)\" id=\"item.referral_secondopinion_reason\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / cardio_triagecons / </span>referral_secondopinion_reason</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Reason for second opinion:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.referral_secondopinion\">referral_secondopinion</a> = Second or third medical opinion (SNOMED CT#77406008)</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck111.png)\" id=\"item.695991571585\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / </span>695991571585</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Service(s) Requested Select all that apply:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.referralService\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / </span>referralService</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">HSCs Assigned:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly\" title=\"Is Read Only\"><img src=\"icon-qi-readonly.png\" alt=\"\"/></a><img src=\"icon-qi-readonly.png\" alt=\"\"/><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-hidden.html\" title=\"Is a hidden item\"><img src=\"icon-qi-hidden.png\" alt=\"\"/></a><img src=\"icon-qi-hidden.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.223886162384\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / </span>223886162384</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Cardiac Testing</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.223886162384\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1111.png)\" id=\"item.660331267409\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / </span>660331267409</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Exam(s) Requested</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.223886162384\">223886162384</a> = Cardiac Testing (Example Referral Form Codes#20001)</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11110.png)\" id=\"item.720409326878\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / </span>720409326878</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">24 Hour Ambulatory Blood Pressure Monitoring (Not OHIP Covered)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.720409326878\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck11110.png)\" id=\"item.960455115596\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / </span>960455115596</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Coronary Angiogram</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.960455115596\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11110.png)\" id=\"item.297634898828\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / </span>297634898828</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Echocardiogram - Resting</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.297634898828\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck11111.png)\" id=\"item.443484577720\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / </span>443484577720</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">sub Echocardiogram - Resting</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.297634898828\">297634898828</a> = Echocardiogram - Resting (Example Referral Form Codes#20005)</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck111110.png)\" id=\"item.165530569567\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 443484577720 / </span>165530569567</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Echocardiogram (2D)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.165530569567\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck111110.png)\" id=\"item.286552421895\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 443484577720 / </span>286552421895</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Echocardiogram with Contrast</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.286552421895\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck111110.png)\" id=\"item.910527687300\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 443484577720 / </span>910527687300</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Echocardiogram with Saline (Bubble)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.910527687300\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck111110.png)\" id=\"item.657824763133\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 443484577720 / </span>657824763133</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Pediatric Echocardiogram</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.657824763133\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck111100.png)\" id=\"item.992743200182\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 443484577720 / </span>992743200182</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Transesophageal Echocardiogram (TEE)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.992743200182\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck11110.png)\" id=\"item.894277763438\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / </span>894277763438</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Electrocardiogram (ECG)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.894277763438\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11110.png)\" id=\"item.279226023495\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / </span>279226023495</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Holter Monitoring</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.279226023495\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck11111.png)\" id=\"item.440449731882\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / </span>440449731882</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">sub holter monitoring</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.279226023495\">279226023495</a> = Holter Monitoring (Example Referral Form Codes#20007)</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck111110.png)\" id=\"item.671328703851\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 440449731882 / </span>671328703851</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">24 Hours</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.671328703851\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck111110.png)\" id=\"item.423992261841\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 440449731882 / </span>423992261841</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">48 Hours</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.423992261841\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck111110.png)\" id=\"item.419924239187\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 440449731882 / </span>419924239187</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">72 Hours</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.419924239187\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck111110.png)\" id=\"item.731054417270\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 440449731882 / </span>731054417270</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">7 Days</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.731054417270\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck111100.png)\" id=\"item.235876421044\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 440449731882 / </span>235876421044</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">14 Days</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.235876421044\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck11110.png)\" id=\"item.374742834400\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / </span>374742834400</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Loop / Event Monitor</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.374742834400\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11110.png)\" id=\"item.159161544747\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / </span>159161544747</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Cardiovascular stress testing</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.159161544747\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck11111.png)\" id=\"item.370275060390\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / </span>370275060390</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Sub Stress Testing</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.159161544747\">159161544747</a> = Stress Testing (Example Referral Form Codes#20009)</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck111110.png)\" id=\"item.814218498309\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 370275060390 / </span>814218498309</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">ECG - Exercise Stress Test</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.814218498309\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck111110.png)\" id=\"item.307107493993\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 370275060390 / </span>307107493993</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">ECG - Dobutamine/Persantine Stress Test</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.307107493993\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck111110.png)\" id=\"item.805303414102\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 370275060390 / </span>805303414102</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Echocardiogram - Exercise Stress Test</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.805303414102\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck111100.png)\" id=\"item.193586908489\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 370275060390 / </span>193586908489</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Echocardiogram - Dobutamine/Persantine Stress Test</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.193586908489\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11110.png)\" id=\"item.918517139023\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / </span>918517139023</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Nuclear Medicine</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.918517139023\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck11111.png)\" id=\"item.222686221935\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / </span>222686221935</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">sub Nuclear Medicine</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.918517139023\">918517139023</a> = Nuclear Medicine (Example Referral Form Codes#20010)</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck111110.png)\" id=\"item.924189648184\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 222686221935 / </span>924189648184</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">MUGA - Resting</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.924189648184\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck111110.png)\" id=\"item.857163514910\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 222686221935 / </span>857163514910</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Cardiac Pyrophosphate</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.857163514910\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck111110.png)\" id=\"item.892165959617\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 222686221935 / </span>892165959617</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Myocardial perfusion scan</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.892165959617\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck111101.png)\" id=\"item.538288549138\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 222686221935 / </span>538288549138</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">sub MIBI</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.892165959617\">892165959617</a> = MIBI Scans / Myocardial Perfusion Imaging (MPI): (Example Referral Form Codes#20028)</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1111010.png)\" id=\"item.373435981917\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 222686221935 / 538288549138 / </span>373435981917</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">MIBI Scan - Exercise Stress Test</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.373435981917\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1111010.png)\" id=\"item.434394942688\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 222686221935 / 538288549138 / </span>434394942688</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">MIBI Scan - Dobutamine/Persantine Stress Test</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.434394942688\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1111000.png)\" id=\"item.913594478162\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / 222686221935 / 538288549138 / </span>913594478162</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Thallium Viability Test</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.913594478162\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck11110.png)\" id=\"item.992682216482\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / </span>992682216482</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Tilt Table Testing</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.992682216482\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11110.png)\" id=\"item.cardiology_referral_services_cardiactesting_other\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / </span>cardiology_referral_services_cardiactesting_other</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Other</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.cardiology_referral_services_cardiactesting_other\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck11100.png)\" id=\"item.cardiology_referral_services_cardiactesting_other_specify\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / 660331267409 / </span>cardiology_referral_services_cardiactesting_other_specify</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Specify</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.cardiology_referral_services_cardiactesting_other\">cardiology_referral_services_cardiactesting_other</a> = other (NullFlavor#OTH)</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1100.png)\" id=\"item.785727177547\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 695991571585 / </span>785727177547</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Cardiology Consultation</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.785727177547\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck111.png)\" id=\"item.186952778859\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / </span>186952778859</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Concern(s) / Indication(s) Triggering Referral Select all that apply:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.219569805461\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 186952778859 / </span>219569805461</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Arrhythmias or Palpitations</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.219569805461\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.571934328499\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 186952778859 / </span>571934328499</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Cardiovascular Risk Assessment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.571934328499\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.459737733395\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 186952778859 / </span>459737733395</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Chest Pain or Angina</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.459737733395\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.929919815516\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 186952778859 / </span>929919815516</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Congenital Heart Disease</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.929919815516\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.832263816528\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 186952778859 / </span>832263816528</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Congestive Heart Failure</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.832263816528\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.803760213460\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 186952778859 / </span>803760213460</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Coronary Artery Disease</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.803760213460\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.129767162379\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 186952778859 / </span>129767162379</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Dyspnea</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.129767162379\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.116150628533\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 186952778859 / </span>116150628533</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Hypertension</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.116150628533\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.513825527027\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 186952778859 / </span>513825527027</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Murmur</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.513825527027\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.975075898688\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 186952778859 / </span>975075898688</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Pericardial Disease</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.975075898688\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.704148928571\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 186952778859 / </span>704148928571</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Peripheral Edema</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.704148928571\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.886489617115\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 186952778859 / </span>886489617115</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Post-Myocardial Infarction</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.886489617115\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.621745958993\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 186952778859 / </span>621745958993</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Pre-operative Consultation</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.621745958993\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.873024527134\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 186952778859 / </span>873024527134</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Procedure Date (if known)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.621745958993\">621745958993</a> = Pre-operative Consultation (Example Referral Form Codes#20044)</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.197975129599\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 186952778859 / </span>197975129599</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Syncope</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.197975129599\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.675849150752\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 186952778859 / </span>675849150752</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Valvular Heart Disease or Prosthetic Heart Valve</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.675849150752\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.721982740516\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 186952778859 / </span>721982740516</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Other</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-choiceorientation.html\" title=\"Orientation: horizontal \"><img src=\"icon-qi-horizontal.png\" alt=\"\"/></a><img src=\"icon-qi-horizontal.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.721982740516\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1100.png)\" id=\"item.720594942482\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / 186952778859 / </span>720594942482</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Specify</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.721982740516\">721982740516</a> = other (NullFlavor#OTH)</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.Descriptionofclinicalquestion\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">102173268919 / </span>Descriptionofclinicalquestion</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Clinical Question / Goal(s) of Referral with Relevant History, Management and Investigations</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.cpp_header\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> cpp_header</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Cumulative Patient Profile Please delete any sensitive information you do not intend to share from the CPP</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.cpp_separate\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">cpp_header / </span>cpp_separate</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">CPP attached separately (if not entered below)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.cpp_separate\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.cpp_currentprob\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">cpp_header / </span>cpp_currentprob</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Current Problem List:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.cpp_separate\">cpp_separate</a> exists false</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.cpp_pastmedicalhistory\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">cpp_header / </span>cpp_pastmedicalhistory</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Past Medical History:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.cpp_separate\">cpp_separate</a> exists false</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.cpp_currentmedications\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">cpp_header / </span>cpp_currentmedications</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Current Medications :</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.cpp_separate\">cpp_separate</a> exists false</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.cpp_familyhistory\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">cpp_header / </span>cpp_familyhistory</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Family History:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.cpp_separate\">cpp_separate</a> exists false</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.cpp_allergies\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">cpp_header / </span>cpp_allergies</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Allergies:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.cpp_separate\">cpp_separate</a> exists false</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.preferredconsultlocation_header\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> preferredconsultlocation_header</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Preferred Consultant or Location All patients will be triaged to the shortest wait time unless a preferred consultant or location is entered.</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.preferredconsultlocation_selector\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">preferredconsultlocation_header / </span>preferredconsultlocation_selector</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Preferred consultant or location</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.preferredconsultlocation_selector\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck111.png)\" id=\"item.preferredconsultlocation_specify\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">preferredconsultlocation_header / </span>preferredconsultlocation_specify</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Please specify either a preferred consultant or location</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.preferredconsultlocation_selector\">preferredconsultlocation_selector</a> = Preferred consultant or location</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.preferredconsultlocation_consultant\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">preferredconsultlocation_header / preferredconsultlocation_specify / </span>preferredconsultlocation_consultant</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Consultant:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1100.png)\" id=\"item.preferredconsultlocation_location\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">preferredconsultlocation_header / preferredconsultlocation_specify / </span>preferredconsultlocation_location</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Location:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.preferredconsultlocation_willingtotravel\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">preferredconsultlocation_header / </span>preferredconsultlocation_willingtotravel</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Patient willing to travel for shorter wait time</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.preferredconsultlocation_willingtotravel\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.preferredconsultlocation_otherconsiderations\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">preferredconsultlocation_header / </span>preferredconsultlocation_otherconsiderations</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Other considerations:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.supportingdocumentation_header\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> supportingdocumentation_header</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Supporting Documentation Please attach all relevant laboratory and diagnostic investigations.</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.supportingdocumentation_details\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">supportingdocumentation_header / </span>supportingdocumentation_details</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Personal Health Information that is medically relevant has not been disclosed at the request of the patient.</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.supportingdocumentation_details\">1 option</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" id=\"item.supportingdocumentation_attachment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-attachment.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"attachment\" class=\"hierarchy\"/> supportingdocumentation_attachment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Add Attachments</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-attachment\">attachment</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" id=\"item.feedbacksurvey_cardiology\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> feedbacksurvey_cardiology</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Click here to provide feedback on this form</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck01.png)\" id=\"item.referrer_header\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> referrer_header</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Referrer's Information</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck010.png)\" id=\"item.referrer_sitename\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">referrer_header / </span>referrer_sitename</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Site Name:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck011.png)\" id=\"item.referrer_address_line1\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">referrer_header / </span>referrer_address_line1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Address (Line 1):</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item.referrer_address_line2\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">referrer_header / referrer_address_line1 / </span>referrer_address_line2</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Address (Line 2):</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item.referrer_address_city\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">referrer_header / referrer_address_line1 / </span>referrer_address_city</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">City:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item.referrer_address_province\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">referrer_header / referrer_address_line1 / </span>referrer_address_province</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Province:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Max Length: 2</td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck0100.png)\" id=\"item.referrer_address_postalcode\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">referrer_header / referrer_address_line1 / </span>referrer_address_postalcode</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Postal Code:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck010.png)\" id=\"item.referrer_phone\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">referrer_header / </span>referrer_phone</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Phone #:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck010.png)\" id=\"item.referrer_fax\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">referrer_header / </span>referrer_fax</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Fax #:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck010.png)\" id=\"item.referrer_billing\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">referrer_header / </span>referrer_billing</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Billing Number:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer\">integer</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck010.png)\" id=\"item.referrer_professionalid\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">referrer_header / </span>referrer_professionalid</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Professional ID:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer\">integer</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck010.png)\" id=\"item.referrer_signature\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">referrer_header / </span>referrer_signature</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Signed:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck000.png)\" id=\"item.referrer_role\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">referrer_header / </span>referrer_role</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Role:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.referrer_role\">9 options</a></td></tr>\r\n<tr><td colspan=\"6\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name=\"opt-item.patient_gender\"> </a><p><b>Answer options for patient_gender </b></p><ul><li style=\"font-size: 11px\">http://hl7.org/fhir/administrative-gender#male (&quot;Male&quot;)</li><li style=\"font-size: 11px\">http://hl7.org/fhir/administrative-gender#female (&quot;Female&quot;)</li><li style=\"font-size: 11px\">http://hl7.org/fhir/administrative-gender#other (&quot;Other&quot;)</li></ul><a name=\"opt-item.additionalinfo_sexassignedatbirth\"> </a><p><b>Answer options for additionalinfo_sexassignedatbirth </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA3-6 (&quot;Female&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA2-8 (&quot;Male&quot;)</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/exampleCS#Intersex (&quot;Intersex&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA4489-6 (&quot;Unknown&quot;)</li></ul><a name=\"opt-item.additionalinfo_pronouns\"> </a><p><b>Answer options for additionalinfo_pronouns </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA29519-8 (&quot;she/her/her/hers/herself&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA29518-0 (&quot;he/him/his/his/himself&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA29520-6 (&quot;they/them/their/theirs/themselves&quot;)</li><li style=\"font-size: 11px\">http://terminology.hl7.org/CodeSystem/v3-NullFlavor#OTH (&quot;other&quot;)</li></ul><a name=\"opt-item.additionalinfo_preferredlanguage\"> </a><p><b>Answer options for additionalinfo_preferredlanguage </b></p><ul><li style=\"font-size: 11px\">urn:ietf:bcp:47#en (&quot;English&quot;)</li><li style=\"font-size: 11px\">urn:ietf:bcp:47#fr (&quot;French&quot;)</li><li style=\"font-size: 11px\">http://terminology.hl7.org/CodeSystem/v3-NullFlavor#OTH (&quot;other&quot;)</li></ul><a name=\"opt-item.additionalinfo_preferredlanguage_translatorrequired\"> </a><p><b>Answer options for additionalinfo_preferredlanguage_translatorrequired </b></p><ul><li style=\"font-size: 11px\">Translator Required</li></ul><a name=\"opt-item.additionalinfo_bestmethodofcontact\"> </a><p><b>Answer options for additionalinfo_bestmethodofcontact </b></p><ul><li style=\"font-size: 11px\">http://hl7.org/fhir/contact-point-use#mobile (&quot;Mobile&quot;)</li><li style=\"font-size: 11px\">http://hl7.org/fhir/contact-point-use#home (&quot;Home&quot;)</li><li style=\"font-size: 11px\">http://hl7.org/fhir/contact-point-use#work (&quot;Work&quot;)</li><li style=\"font-size: 11px\">http://hl7.org/fhir/contact-point-system#email (&quot;Email&quot;)</li></ul><a name=\"opt-item.additionalinfo_bestmethodofcontact_voicemails\"> </a><p><b>Answer options for additionalinfo_bestmethodofcontact_voicemails </b></p><ul><li style=\"font-size: 11px\"> Voicemails acceptable</li></ul><a name=\"opt-item.additionalinfo_preferredname_select\"> </a><p><b>Answer options for additionalinfo_preferredname_select </b></p><ul><li style=\"font-size: 11px\">Preferred Name</li></ul><a name=\"opt-item.additionalinfo_alternatecontact_select\"> </a><p><b>Answer options for additionalinfo_alternatecontact_select </b></p><ul><li style=\"font-size: 11px\">Alternate contact</li></ul><a name=\"opt-item.additionalinfo_alternatecontact_bookingcontact\"> </a><p><b>Answer options for additionalinfo_alternatecontact_bookingcontact </b></p><ul><li style=\"font-size: 11px\">http://terminology.hl7.org/CodeSystem/v2-0532#Y (&quot;Yes&quot;)</li><li style=\"font-size: 11px\">http://terminology.hl7.org/CodeSystem/v2-0532#N (&quot;No&quot;)</li></ul><a name=\"opt-item.additionalinfo_unsafecontacts_select\"> </a><p><b>Answer options for additionalinfo_unsafecontacts_select </b></p><ul><li style=\"font-size: 11px\">Unsafe contact persons (do not speak with)</li></ul><a name=\"opt-item.additionalinfo_unsafecontacts_speakwithpatientdirectly\"> </a><p><b>Answer options for additionalinfo_unsafecontacts_speakwithpatientdirectly </b></p><ul><li style=\"font-size: 11px\">Only speak with patient directly</li></ul><a name=\"opt-item.additionalinfo_accessibilityconcernsordisability_selectt\"> </a><p><b>Answer options for additionalinfo_accessibilityconcernsordisability_selectt </b></p><ul><li style=\"font-size: 11px\">Accessibility concerns or disability</li></ul><a name=\"opt-item.additionalinfo_accessibilityconcernsordisability\"> </a><p><b>Answer options for additionalinfo_accessibilityconcernsordisability </b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#129839007 (&quot;At risk for falls&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#301621006 (&quot;Uses lift&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#105503008 (&quot;Dependence on wheelchair&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#15188001 (&quot;Hearing impaired&quot;)</li></ul><a name=\"opt-item.additionalinfo_specialconsiderations_select\"> </a><p><b>Answer options for additionalinfo_specialconsiderations_select </b></p><ul><li style=\"font-size: 11px\">Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)</li></ul><a name=\"opt-item.additionalinfo_sendcopiestoadditionalproviders\"> </a><p><b>Answer options for additionalinfo_sendcopiestoadditionalproviders </b></p><ul><li style=\"font-size: 11px\">Send copies of reports to additional providers</li></ul><a name=\"opt-item.additionalinfo_sendcopiestoadditionalproviders_ispcp\"> </a><p><b>Answer options for additionalinfo_sendcopiestoadditionalproviders_ispcp </b></p><ul><li style=\"font-size: 11px\">This is the Primary Care Provider</li></ul><a name=\"opt-item.referral_requestedpriority\"> </a><p><b>Answer options for referral_requestedpriority </b></p><ul><li style=\"font-size: 11px\">http://hl7.org/fhir/request-priority#routine (&quot;Routine&quot;)</li><li style=\"font-size: 11px\">http://hl7.org/fhir/request-priority#urgent (&quot;Urgent&quot;)</li></ul><a name=\"opt-item.referral_secondopinion\"> </a><p><b>Answer options for referral_secondopinion </b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#77406008 (&quot;Second or third medical opinion&quot;)</li></ul><a name=\"opt-item.223886162384\"> </a><p><b>Answer options for 223886162384 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20001 (&quot;Cardiac Testing&quot;)</li></ul><a name=\"opt-item.720409326878\"> </a><p><b>Answer options for 720409326878 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20003 (&quot;24 Hour Ambulatory Blood Pressure Monitoring (Not OHIP Covered)&quot;)</li></ul><a name=\"opt-item.960455115596\"> </a><p><b>Answer options for 960455115596 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20004 (&quot;Coronary Angiogram&quot;)</li></ul><a name=\"opt-item.297634898828\"> </a><p><b>Answer options for 297634898828 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20005 (&quot;Echocardiogram - Resting&quot;)</li></ul><a name=\"opt-item.165530569567\"> </a><p><b>Answer options for 165530569567 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20012 (&quot;Echocardiogram (2D)&quot;)</li></ul><a name=\"opt-item.286552421895\"> </a><p><b>Answer options for 286552421895 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20013 (&quot;Echocardiogram with Contrast&quot;)</li></ul><a name=\"opt-item.910527687300\"> </a><p><b>Answer options for 910527687300 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20014 (&quot;Echocardiogram with Saline (Bubble)&quot;)</li></ul><a name=\"opt-item.657824763133\"> </a><p><b>Answer options for 657824763133 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20015 (&quot;Pediatric Echocardiogram&quot;)</li></ul><a name=\"opt-item.992743200182\"> </a><p><b>Answer options for 992743200182 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20016 (&quot;Transesophageal Echocardiogram (TEE)&quot;)</li></ul><a name=\"opt-item.894277763438\"> </a><p><b>Answer options for 894277763438 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20006 (&quot;Electrocardiogram (ECG)&quot;)</li></ul><a name=\"opt-item.279226023495\"> </a><p><b>Answer options for 279226023495 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20007 (&quot;Holter Monitoring&quot;)</li></ul><a name=\"opt-item.671328703851\"> </a><p><b>Answer options for 671328703851 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20017 (&quot;24 Hours&quot;)</li></ul><a name=\"opt-item.423992261841\"> </a><p><b>Answer options for 423992261841 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20018 (&quot;48 Hours&quot;)</li></ul><a name=\"opt-item.419924239187\"> </a><p><b>Answer options for 419924239187 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20019 (&quot;72 Hours&quot;)</li></ul><a name=\"opt-item.731054417270\"> </a><p><b>Answer options for 731054417270 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20020 (&quot;7 Days&quot;)</li></ul><a name=\"opt-item.235876421044\"> </a><p><b>Answer options for 235876421044 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20021 (&quot;14 Days&quot;)</li></ul><a name=\"opt-item.374742834400\"> </a><p><b>Answer options for 374742834400 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20008 (&quot;Loop / Event Monitor&quot;)</li></ul><a name=\"opt-item.159161544747\"> </a><p><b>Answer options for 159161544747 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20009 (&quot;Stress Testing&quot;)</li></ul><a name=\"opt-item.814218498309\"> </a><p><b>Answer options for 814218498309 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20022 (&quot;ECG - Exercise Stress Test&quot;)</li></ul><a name=\"opt-item.307107493993\"> </a><p><b>Answer options for 307107493993 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20023 (&quot;ECG - Dobutamine/Persantine Stress Test&quot;)</li></ul><a name=\"opt-item.805303414102\"> </a><p><b>Answer options for 805303414102 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20024 (&quot;Echocardiogram - Exercise Stress Test&quot;)</li></ul><a name=\"opt-item.193586908489\"> </a><p><b>Answer options for 193586908489 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20025 (&quot;Echocardiogram - Dobutamine/Persantine Stress Test&quot;)</li></ul><a name=\"opt-item.918517139023\"> </a><p><b>Answer options for 918517139023 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20010 (&quot;Nuclear Medicine&quot;)</li></ul><a name=\"opt-item.924189648184\"> </a><p><b>Answer options for 924189648184 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20026 (&quot;MUGA - Resting&quot;)</li></ul><a name=\"opt-item.857163514910\"> </a><p><b>Answer options for 857163514910 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20027 (&quot;Cardiac Pyrophosphate&quot;)</li></ul><a name=\"opt-item.892165959617\"> </a><p><b>Answer options for 892165959617 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20028 (&quot;MIBI Scans / Myocardial Perfusion Imaging (MPI):&quot;)</li></ul><a name=\"opt-item.373435981917\"> </a><p><b>Answer options for 373435981917 </b></p><ul><li style=\"font-size: 11px\">MIBI Scan - Exercise Stress Test</li></ul><a name=\"opt-item.434394942688\"> </a><p><b>Answer options for 434394942688 </b></p><ul><li style=\"font-size: 11px\">MIBI Scan - Dobutamine/Persantine Stress Test</li></ul><a name=\"opt-item.913594478162\"> </a><p><b>Answer options for 913594478162 </b></p><ul><li style=\"font-size: 11px\">Thallium Viability Test</li></ul><a name=\"opt-item.992682216482\"> </a><p><b>Answer options for 992682216482 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20011 (&quot;Tilt Table Testing&quot;)</li></ul><a name=\"opt-item.cardiology_referral_services_cardiactesting_other\"> </a><p><b>Answer options for cardiology_referral_services_cardiactesting_other </b></p><ul><li style=\"font-size: 11px\">http://terminology.hl7.org/CodeSystem/v3-NullFlavor#OTH (&quot;other&quot;)</li></ul><a name=\"opt-item.785727177547\"> </a><p><b>Answer options for 785727177547 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20002 (&quot;Cardiology Consultation&quot;)</li></ul><a name=\"opt-item.219569805461\"> </a><p><b>Answer options for 219569805461 </b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#698247007 (&quot;Cardiac arrhythmia&quot;)</li></ul><a name=\"opt-item.571934328499\"> </a><p><b>Answer options for 571934328499 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20033 (&quot;Cardiovascular Risk Assessment&quot;)</li></ul><a name=\"opt-item.459737733395\"> </a><p><b>Answer options for 459737733395 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20034 (&quot;Chest Pain or Angina&quot;)</li></ul><a name=\"opt-item.929919815516\"> </a><p><b>Answer options for 929919815516 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20035 (&quot;Congenital Heart Disease&quot;)</li></ul><a name=\"opt-item.832263816528\"> </a><p><b>Answer options for 832263816528 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20036 (&quot;Congestive Heart Failure&quot;)</li></ul><a name=\"opt-item.803760213460\"> </a><p><b>Answer options for 803760213460 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20037 (&quot;Coronary Artery Disease&quot;)</li></ul><a name=\"opt-item.129767162379\"> </a><p><b>Answer options for 129767162379 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20038 (&quot;Dyspnea&quot;)</li></ul><a name=\"opt-item.116150628533\"> </a><p><b>Answer options for 116150628533 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20039 (&quot;Hypertension&quot;)</li></ul><a name=\"opt-item.513825527027\"> </a><p><b>Answer options for 513825527027 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20040 (&quot;Murmur&quot;)</li></ul><a name=\"opt-item.975075898688\"> </a><p><b>Answer options for 975075898688 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20041 (&quot;Pericardial Disease&quot;)</li></ul><a name=\"opt-item.704148928571\"> </a><p><b>Answer options for 704148928571 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20042 (&quot;Peripheral Edema&quot;)</li></ul><a name=\"opt-item.886489617115\"> </a><p><b>Answer options for 886489617115 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20043 (&quot;Post-Myocardial Infarction&quot;)</li></ul><a name=\"opt-item.621745958993\"> </a><p><b>Answer options for 621745958993 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20044 (&quot;Pre-operative Consultation&quot;)</li></ul><a name=\"opt-item.197975129599\"> </a><p><b>Answer options for 197975129599 </b></p><ul><li style=\"font-size: 11px\">http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes#20045 (&quot;Syncope&quot;)</li></ul><a name=\"opt-item.675849150752\"> </a><p><b>Answer options for 675849150752 </b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#368009 (&quot;Valvular heart disease&quot;)</li></ul><a name=\"opt-item.721982740516\"> </a><p><b>Answer options for 721982740516 </b></p><ul><li style=\"font-size: 11px\">http://terminology.hl7.org/CodeSystem/v3-NullFlavor#OTH (&quot;other&quot;)</li></ul><a name=\"opt-item.cpp_separate\"> </a><p><b>Answer options for cpp_separate </b></p><ul><li style=\"font-size: 11px\">CPP attached separately (if not entered below)</li></ul><a name=\"opt-item.preferredconsultlocation_selector\"> </a><p><b>Answer options for preferredconsultlocation_selector </b></p><ul><li style=\"font-size: 11px\">Preferred consultant or location</li></ul><a name=\"opt-item.preferredconsultlocation_willingtotravel\"> </a><p><b>Answer options for preferredconsultlocation_willingtotravel </b></p><ul><li style=\"font-size: 11px\">Patient willing to travel for shorter wait time</li></ul><a name=\"opt-item.supportingdocumentation_details\"> </a><p><b>Answer options for supportingdocumentation_details </b></p><ul><li style=\"font-size: 11px\">Personal Health Information that is medically relevant has not been disclosed at the request of the patient.</li></ul><a name=\"opt-item.referrer_role\"> </a><p><b>Answer options for referrer_role </b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#309398001 (&quot;Profession allied to medicine&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#62247001 (&quot;Family doctor&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#449161006 (&quot;Physician assistant&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#398130009 (&quot;Medical student&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#106292003 (&quot;Nurse&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#224571005 (&quot;Nurse practitioner&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#405277009 (&quot;Resident physician&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#69280009 (&quot;Specialized physician&quot;)</li><li style=\"font-size: 11px\">http://terminology.hl7.org/CodeSystem/v3-NullFlavor#OTH (&quot;other&quot;)</li></ul><h2>Contained Resources</h2><hr/>\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"metadata\"> </a>Metadata</th>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n\n\n<td class=\"content-container\">true</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n\n<td class=\"content-container\">HTML with embedded [FHIRPath Liquid](https://confluence.hl7.org/spaces/FHIR/pages/66938964/FHIR+Liquid+Profile) that is intended to be executed against QuestionnaireResponses based on this Questionnaire.</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Type</th>\n\n\n\n<td class=\"content-container\">\n    <a href=\"CodeSystem-library-types.html\">http://ontariohealth.ca/fhir/eforms/CodeSystem/library-types</a>#qr-narrative-liquid\n\n\n</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"parameters\"> </a>Parameters</th>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Parameter</th>\n\n\n\n<td class=\"content-container\">None</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Library Content</th>\n\n\n</tr>\n  \n    \n    <tr>\n      <th scope=\"row\" class=\"row-header\">text/htmlContent</th>\n      <td>\n        <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code>Encoded data </code></pre>\n      </td>\n    </tr>\n    \n  \n\n\n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.5.6 of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"
  },
  "contained": [
    {
      "resourceType": "Library",
      "id": "liquid",
      "status": "active",
      "experimental": true,
      "type": {
        "coding": [
          {
            "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/library-types",
            "code": "qr-narrative-liquid"
          }
        ]
      },
      "description": "HTML with embedded [FHIRPath Liquid](https://confluence.hl7.org/spaces/FHIR/pages/66938964/FHIR+Liquid+Profile) that is intended to be executed against QuestionnaireResponses based on this Questionnaire.",
      "content": [
        {
          "contentType": "text/html",
          "data": "<div>{% capture childItems %}{% if QuestionnaireResponse.item.where(linkId = '102173268919').exists() %}<span style="font-weight:bold;text-decoration:underline;"><br/>Referral Details<br/></span> {% for currentItem in QuestionnaireResponse.item.where(linkId = '102173268919') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'cardio_triagecons').exists() %}<span style="font-weight:bold;">Triage Considerations</span> {% for currentItem in currentItem.item.where(linkId = 'cardio_triagecons') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'referral_requestedpriority' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referral_requestedpriority' and answer.exists()) %}{% if currentItem.answer.exists() %}Requested Priority: <br/><span style="font-weight:bold;color:#EE6B00;">{% for answer in currentItem.answer %}{% if answer.value.code = 'routine' %}Routine<br/>{% endif %}{% if answer.value.code = 'urgent' %}Urgent{% endif %}{% endfor %}</span>{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'referral_secondopinion' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referral_secondopinion' and answer.exists()) %}{% if currentItem.answer.exists() %}{% for answer in currentItem.answer %}{% if answer.value.code = '77406008' %}Second or third medical opinion{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'referral_secondopinion_reason' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referral_secondopinion_reason' and answer.exists()) %}{% if currentItem.answer.exists() %}Reason for second opinion: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '695991571585').exists() %}<span style="font-weight:bold;">Service(s) Requested</span> {% for currentItem in currentItem.item.where(linkId = '695991571585') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'referralService' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referralService' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">HSCs Assigned:</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '223886162384' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '223886162384' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20001' %}Cardiac Testing{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '660331267409').exists() %}Exam(s) Requested<br/><br/><br/> {% for currentItem in currentItem.item.where(linkId = '660331267409') %}{% capture childItems %}{% if currentItem.item.where(linkId = '720409326878' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '720409326878' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20003' %}24 Hour Ambulatory Blood Pressure Monitoring (Not OHIP Covered){% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '960455115596' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '960455115596' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20004' %}Coronary Angiogram{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '297634898828' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '297634898828' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20005' %}Echocardiogram - Resting{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '443484577720').exists() %}<br/><br/> {% for currentItem in currentItem.item.where(linkId = '443484577720') %}{% capture childItems %}{% if currentItem.item.where(linkId = '165530569567' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '165530569567' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20012' %}Echocardiogram (2D){% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '286552421895' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '286552421895' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20013' %}Echocardiogram with Contrast{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '910527687300' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '910527687300' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20014' %}Echocardiogram with Saline (Bubble){% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '657824763133' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '657824763133' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20015' %}Pediatric Echocardiogram{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '992743200182' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '992743200182' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20016' %}Transesophageal Echocardiogram (TEE){% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '894277763438' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '894277763438' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20006' %}Electrocardiogram (ECG){% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '279226023495' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '279226023495' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20007' %}Holter Monitoring{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '440449731882').exists() %}<br/><br/> {% for currentItem in currentItem.item.where(linkId = '440449731882') %}{% capture childItems %}{% if currentItem.item.where(linkId = '671328703851' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '671328703851' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20017' %}24 Hours{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '423992261841' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '423992261841' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20018' %}48 Hours{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '419924239187' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '419924239187' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20019' %}72 Hours{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '731054417270' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '731054417270' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20020' %}7 Days{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '235876421044' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '235876421044' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20021' %}14 Days{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '374742834400' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '374742834400' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20008' %}Loop / Event Monitor{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '159161544747' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '159161544747' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20009' %}Stress Testing{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '370275060390').exists() %}<br/><br/> {% for currentItem in currentItem.item.where(linkId = '370275060390') %}{% capture childItems %}{% if currentItem.item.where(linkId = '814218498309' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '814218498309' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20022' %}ECG - Exercise Stress Test{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '307107493993' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '307107493993' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20023' %}ECG - Dobutamine/Persantine Stress Test{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '805303414102' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '805303414102' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20024' %}Echocardiogram - Exercise Stress Test{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '193586908489' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '193586908489' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20025' %}Echocardiogram - Dobutamine/Persantine Stress Test{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '918517139023' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '918517139023' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20010' %}Nuclear Medicine{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '222686221935').exists() %}<br/><br/> {% for currentItem in currentItem.item.where(linkId = '222686221935') %}{% capture childItems %}{% if currentItem.item.where(linkId = '924189648184' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '924189648184' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20026' %}MUGA - Resting{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '857163514910' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '857163514910' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20027' %}Cardiac Pyrophosphate{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '892165959617' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '892165959617' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20028' %}MIBI Scans / Myocardial Perfusion Imaging (MPI):{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '538288549138').exists() %}<br/><br/> {% for currentItem in currentItem.item.where(linkId = '538288549138') %}{% capture childItems %}{% if currentItem.item.where(linkId = '373435981917' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '373435981917' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value = 'MIBI Scan - Exercise Stress Test' %}MIBI Scan - Exercise Stress Test{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '434394942688' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '434394942688' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value = 'MIBI Scan - Dobutamine/Persantine Stress Test' %}MIBI Scan - Dobutamine/Persantine Stress Test{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '913594478162' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '913594478162' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value = 'Thallium Viability Test' %}Thallium Viability Test{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '992682216482' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '992682216482' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20011' %}Tilt Table Testing{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'cardiology_referral_services_cardiactesting_other' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'cardiology_referral_services_cardiactesting_other' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = 'OTH' %}other{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'cardiology_referral_services_cardiactesting_other_specify' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'cardiology_referral_services_cardiactesting_other_specify' and answer.exists()) %}{% if currentItem.answer.exists() %}Specify {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '785727177547' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '785727177547' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20002' %}Cardiology Consultation{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '186952778859').exists() %}<b>Concern(s) / Indication(s) Triggering Referral</b><br/><i>Select all that apply:</i><br/><br/> {% for currentItem in currentItem.item.where(linkId = '186952778859') %}{% capture childItems %}{% if currentItem.item.where(linkId = '219569805461' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '219569805461' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '698247007' %}Arrhythmias or Palpitations{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '571934328499' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '571934328499' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20033' %}Cardiovascular Risk Assessment{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '459737733395' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '459737733395' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20034' %}Chest Pain or Angina{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '929919815516' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '929919815516' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20035' %}Congenital Heart Disease{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '832263816528' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '832263816528' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20036' %}Congestive Heart Failure{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '803760213460' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '803760213460' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20037' %}Coronary Artery Disease{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '129767162379' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '129767162379' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20038' %}Dyspnea{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '116150628533' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '116150628533' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20039' %}Hypertension{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '513825527027' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '513825527027' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20040' %}Murmur{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '975075898688' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '975075898688' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20041' %}Pericardial Disease{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '704148928571' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '704148928571' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20042' %}Peripheral Edema{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '886489617115' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '886489617115' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20043' %}Post-Myocardial Infarction{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '621745958993' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '621745958993' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20044' %}Pre-operative Consultation{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '873024527134' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '873024527134' and answer.exists()) %}{% if currentItem.answer.exists() %}Procedure Date (if known) {% for answer in currentItem.answer %}{{ answer.value.ofType(date) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '197975129599' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '197975129599' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '20045' %}Syncope{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '675849150752' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '675849150752' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = '368009' %}Valvular Heart Disease or Prosthetic Heart Valve{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '721982740516' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '721982740516' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value.code = 'OTH' %}other{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '720594942482' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '720594942482' and answer.exists()) %}{% if currentItem.answer.exists() %}Specify {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'Descriptionofclinicalquestion' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'Descriptionofclinicalquestion' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Clinical Question / Goal(s) of Referral with Relevant History, Management and Investigations<br/></span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = 'patient_header').exists() %}Patient Information<br/> {% for currentItem in QuestionnaireResponse.item.where(linkId = 'patient_header') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'patient_surname' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_surname' and answer.exists()) %}{% if currentItem.answer.exists() %}Surname: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_firstname' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_firstname' and answer.exists()) %}{% if currentItem.answer.exists() %}First Name: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_date_of_birth' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_date_of_birth' and answer.exists()) %}{% if currentItem.answer.exists() %}DOB: {% for answer in currentItem.answer %}{{ answer.value.ofType(date) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_gender' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_gender' and answer.exists()) %}{% if currentItem.answer.exists() %}Gender: {% for answer in currentItem.answer %}{% if answer.value.code = 'male' %}Male{% endif %}{% if answer.value.code = 'female' %}Female{% endif %}{% if answer.value.code = 'other' %}Other{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_hc_pc' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_hc_pc' and answer.exists()) %}{% if currentItem.answer.exists() %}HN PC: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_address_line1' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_address_line1' and answer.exists()) %}{% if currentItem.answer.exists() %}Address (Line 1): {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_phone_mobile' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_phone_mobile' and answer.exists()) %}{% if currentItem.answer.exists() %}Mobile #: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_phone_home' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_phone_home' and answer.exists()) %}{% if currentItem.answer.exists() %}Home #: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_phone_business' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_phone_business' and answer.exists()) %}{% if currentItem.answer.exists() %}Business #: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_email' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_email' and answer.exists()) %}{% if currentItem.answer.exists() %}Email: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = 'additionalinfo_header').exists() %}[Optional] Additional Patient Information<br/><br/> {% for currentItem in QuestionnaireResponse.item.where(linkId = 'additionalinfo_header') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'additionalinfo_sexassignedatbirth' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_sexassignedatbirth' and answer.exists()) %}{% if currentItem.answer.exists() %}Sex assigned at birth: {% for answer in currentItem.answer %}{% if answer.value.code = 'LA3-6' %}Female{% endif %}{% if answer.value.code = 'LA2-8' %}Male{% endif %}{% if answer.value.code = 'Intersex' %}Intersex{% endif %}{% if answer.value.code = 'LA4489-6' %}Unknown{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_pronouns' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_pronouns' and answer.exists()) %}{% if currentItem.answer.exists() %}Pronouns: {% for answer in currentItem.answer %}{% if answer.value.code = 'LA29519-8' %}She/Her{% endif %}{% if answer.value.code = 'LA29518-0' %}He/Him{% endif %}{% if answer.value.code = 'LA29519-8' %}They/Them{% endif %}{% if answer.value.code = 'OTH' %}other{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_preferredlanguage' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_preferredlanguage' and answer.exists()) %}{% if currentItem.answer.exists() %}Preferred language: {% for answer in currentItem.answer %}{% if answer.value.code = 'en' %}English{% endif %}{% if answer.value.code = 'fr' %}French{% endif %}{% if answer.value.code = 'OTH' %}other{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_bestmethodofcontact' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_bestmethodofcontact' and answer.exists()) %}{% if currentItem.answer.exists() %}Best method of contact: {% for answer in currentItem.answer %}{% if answer.value.code = 'mobile' %}Mobile{% endif %}{% if answer.value.code = 'home' %}Home{% endif %}{% if answer.value.code = 'work' %}Work{% endif %}{% if answer.value.code = 'email' %}Email{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_preferredname_select' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_preferredname_select' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value = 'Preferred Name' %}Preferred Name{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_preferredname' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_preferredname' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_alternatecontact_select' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_alternatecontact_select' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value = 'Alternate contact' %}Alternate contact{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_alternatecontact_name' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_alternatecontact_name' and answer.exists()) %}{% if currentItem.answer.exists() %}Name: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_alternatecontact_phone' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_alternatecontact_phone' and answer.exists()) %}{% if currentItem.answer.exists() %}Alternate contact phone #: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_alternatecontact_relationship' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_alternatecontact_relationship' and answer.exists()) %}{% if currentItem.answer.exists() %}Relationship: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_alternatecontact_bookingcontact' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_alternatecontact_bookingcontact' and answer.exists()) %}{% if currentItem.answer.exists() %}Is Alternate contact the appointment booking contact?: {% for answer in currentItem.answer %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'N' %}No{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_unsafecontacts_select' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_unsafecontacts_select' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value = 'Unsafe contact persons (do not speak with)' %}Unsafe contact persons (do not speak with){% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_unsafecontacts_speakwithpatientdirectly' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_unsafecontacts_speakwithpatientdirectly' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value = 'Only speak with patient directly' %}Only speak with patient directly{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_unsafecontacts_donotspeakwith' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_unsafecontacts_donotspeakwith' and answer.exists()) %}{% if currentItem.answer.exists() %}Do not speak with: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_accessibilityconcernsordisability_selectt' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_accessibilityconcernsordisability_selectt' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value = 'Accessibility concerns or disability' %}Accessibility concerns or disability{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_accessibilityconcernsordisability' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_accessibilityconcernsordisability' and answer.exists()) %}{% if currentItem.answer.exists() %}<br/>{% for answer in currentItem.answer %}{% if answer.value.code = '129839007' %}Falls risk{% endif %}{% if answer.value.code = '301621006' %}Patient requires lift{% endif %}{% if answer.value.code = '105503008' %}Wheelchair{% endif %}{% if answer.value.code = '15188001' %}Hearing impaired{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_specialconsiderations_select' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_specialconsiderations_select' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value = 'Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)' %}Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues){% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_specialconsiderations' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_specialconsiderations' and answer.exists()) %}{% if currentItem.answer.exists() %}Details of special considerations: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_sendcopiestoadditionalproviders' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_sendcopiestoadditionalproviders' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value = 'Send copies of reports to additional providers' %}Send copies of reports to additional providers{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_sendcopiestoadditionalproviders_names' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_sendcopiestoadditionalproviders_names' and answer.exists()) %}{% if currentItem.answer.exists() %}Name(s): {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = 'cpp_header').exists() %}Cumulative Patient Profile<br/><br/><i>Please delete any sensitive information you do not intend to share from the CPP</i><br/> {% for currentItem in QuestionnaireResponse.item.where(linkId = 'cpp_header') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'cpp_separate' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'cpp_separate' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value = 'CPP attached separately (if not entered below)' %}CPP attached separately (if not entered below){% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'cpp_currentprob' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'cpp_currentprob' and answer.exists()) %}{% if currentItem.answer.exists() %}Current Problem List: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'cpp_pastmedicalhistory' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'cpp_pastmedicalhistory' and answer.exists()) %}{% if currentItem.answer.exists() %}Past Medical History: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'cpp_currentmedications' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'cpp_currentmedications' and answer.exists()) %}{% if currentItem.answer.exists() %}Current Medications : {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'cpp_familyhistory' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'cpp_familyhistory' and answer.exists()) %}{% if currentItem.answer.exists() %}Family History: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'cpp_allergies' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'cpp_allergies' and answer.exists()) %}{% if currentItem.answer.exists() %}Allergies: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = 'preferredconsultlocation_header').exists() %}<b>Preferred Consultant or Location</b><br/><br/>All patients will be triaged to the shortest wait time unless a preferred consultant or location is entered.<br/> {% for currentItem in QuestionnaireResponse.item.where(linkId = 'preferredconsultlocation_header') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'preferredconsultlocation_selector' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'preferredconsultlocation_selector' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value = 'Preferred consultant or location' %}Preferred consultant or location{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'preferredconsultlocation_specify').exists() %}Please specify either a <b>preferred</b> consultant or location<br/> {% for currentItem in currentItem.item.where(linkId = 'preferredconsultlocation_specify') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'preferredconsultlocation_consultant' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'preferredconsultlocation_consultant' and answer.exists()) %}{% if currentItem.answer.exists() %}Consultant: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'preferredconsultlocation_location' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'preferredconsultlocation_location' and answer.exists()) %}{% if currentItem.answer.exists() %}Location: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'preferredconsultlocation_willingtotravel' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'preferredconsultlocation_willingtotravel' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value = 'Patient willing to travel for shorter wait time' %}Patient willing to travel for shorter wait time{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'preferredconsultlocation_otherconsiderations' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'preferredconsultlocation_otherconsiderations' and answer.exists()) %}{% if currentItem.answer.exists() %}Other considerations: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = 'supportingdocumentation_header').exists() %}<b>Supporting Documentation</b><br/>Please attach all <b><span style="text-decoration: underline">relevant</span></b> laboratory and diagnostic investigations.<br/><br/> {% for currentItem in QuestionnaireResponse.item.where(linkId = 'supportingdocumentation_header') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'supportingdocumentation_details' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'supportingdocumentation_details' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;"><br/></span> {% for answer in currentItem.answer %}{% if answer.value = 'Personal Health Information that is medically relevant has not been disclosed at the request of the patient.' %}Personal Health Information that is medically relevant has not been disclosed at the request of the patient.{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = 'supportingdocumentation_attachment' and answer.exists()).exists() %}{% for currentItem in QuestionnaireResponse.item.where(linkId = 'supportingdocumentation_attachment' and answer.exists()) %}{% if currentItem.answer.exists() %}Add Attachments {% endif %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = 'referrer_header').exists() %}Referrer's Information<br/> {% for currentItem in QuestionnaireResponse.item.where(linkId = 'referrer_header') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'referrer_sitename' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referrer_sitename' and answer.exists()) %}{% if currentItem.answer.exists() %}Site Name: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'referrer_address_line1' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referrer_address_line1' and answer.exists()) %}{% if currentItem.answer.exists() %}Address (Line 1): {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'referrer_phone' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referrer_phone' and answer.exists()) %}{% if currentItem.answer.exists() %}Phone #: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'referrer_fax' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referrer_fax' and answer.exists()) %}{% if currentItem.answer.exists() %}Fax #: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'referrer_billing' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referrer_billing' and answer.exists()) %}{% if currentItem.answer.exists() %}Billing Number: {% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'referrer_professionalid' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referrer_professionalid' and answer.exists()) %}{% if currentItem.answer.exists() %}Professional ID: {% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'referrer_signature' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referrer_signature' and answer.exists()) %}{% if currentItem.answer.exists() %}Signed: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'referrer_role' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referrer_role' and answer.exists()) %}{% if currentItem.answer.exists() %}Role: {% for answer in currentItem.answer %}{% if answer.value.code = '309398001' %}Allied Health Professional{% endif %}{% if answer.value.code = '62247001' %}Family Physician{% endif %}{% if answer.value.code = '449161006' %}Physician Assistant{% endif %}{% if answer.value.code = '398130009' %}Medical Student{% endif %}{% if answer.value.code = '106292003' %}Nurse{% endif %}{% if answer.value.code = '224571005' %}Nurse Practitioner{% endif %}{% if answer.value.code = '405277009' %}Resident{% endif %}{% if answer.value.code = '69280009' %}Specialist{% endif %}{% if answer.value.code = 'OTH' %}other{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}</div>"
        }
      ]
    }
  ],
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
      "valueCoding": {
        "system": "http://hl7.org/fhir/version-algorithm",
        "code": "semver"
      }
    },
    {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-entryMode",
      "valueCode": "random"
    },
    {
      "url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/sdc-responseRenderingLiquid",
      "valueReference": {
        "reference": "#liquid"
      }
    }
  ],
  "url": "http://ontariohealth.ca/fhir/eforms/Questionnaire/CardiologyOHAuthored",
  "version": "1.2.0",
  "title": "Cardiology Form (Authored)",
  "status": "active",
  "experimental": true,
  "subjectType": [
    "Patient"
  ],
  "publisher": "Ontario Health",
  "description": "Ontario Health–authored cardiology referral questionnaire example. This is the manually refined example based on the OH Form Designer output, updated to better align with the profile, terminology, intended rendering expectations, and note-info usage.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "CA"
        }
      ]
    }
  ],
  "effectivePeriod": {
    "start": "2025-02-03"
  },
  "code": [
    {
      "system": "http://snomed.info/sct",
      "code": "789718008",
      "display": "Cardiology service"
    }
  ],
  "item": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "list",
                "display": "List"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
          "valueString": "background-color:grey;border-style:solid;"
        }
      ],
      "linkId": "patient_header",
      "text": "Patient Information",
      "_text": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
            "valueString": "font-weight:bold;"
          }
        ]
      },
      "type": "group",
      "item": [
        {
          "linkId": "patient_surname",
          "text": "Surname:",
          "type": "string",
          "required": true
        },
        {
          "linkId": "patient_firstname",
          "text": "First Name:",
          "type": "string",
          "required": true
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/entryFormat",
              "valueString": "yyyy/MM/dd"
            }
          ],
          "linkId": "patient_date_of_birth",
          "text": "DOB:",
          "type": "date",
          "required": true
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "radio-button",
                    "display": "Radio Button"
                  }
                ]
              }
            }
          ],
          "linkId": "patient_gender",
          "text": "Gender:",
          "type": "choice",
          "required": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://hl7.org/fhir/administrative-gender",
                "code": "male",
                "display": "Male"
              }
            },
            {
              "valueCoding": {
                "system": "http://hl7.org/fhir/administrative-gender",
                "code": "female",
                "display": "Female"
              }
            },
            {
              "valueCoding": {
                "system": "http://hl7.org/fhir/administrative-gender",
                "code": "other",
                "display": "Other"
              }
            }
          ]
        },
        {
          "linkId": "patient_hc_pc",
          "text": "HN PC:",
          "type": "string",
          "maxLength": 2,
          "item": [
            {
              "linkId": "patient_hc_number",
              "text": "HN:",
              "type": "string",
              "maxLength": 10
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/minLength",
                  "valueInteger": 2
                }
              ],
              "linkId": "patient_hc_vc",
              "text": "HN VC:",
              "type": "string"
            }
          ]
        },
        {
          "linkId": "patient_address_line1",
          "text": "Address (Line 1):",
          "type": "string",
          "required": true,
          "item": [
            {
              "linkId": "patient_address_line2",
              "text": "Address (Line 2):",
              "type": "string"
            },
            {
              "linkId": "patient_address_city",
              "text": "City:",
              "type": "string",
              "required": true
            },
            {
              "linkId": "patient_address_province",
              "text": "Province:",
              "type": "string",
              "required": true,
              "maxLength": 2
            },
            {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "key",
                      "valueId": "pat-pcode"
                    },
                    {
                      "url": "severity",
                      "valueCode": "error"
                    },
                    {
                      "url": "expression",
                      "valueExpression": {
                        "language": "text/fhirpath",
                        "expression": "%resource.repeat(item).where(linkId='patient_address_postalcode').answer.all(value.matches('^(?!.*[DFIOQU])[A-VXY][0-9][A-Z] ?[0-9][A-Z][0-9]$'))"
                      }
                    },
                    {
                      "url": "human",
                      "valueString": "Must be a valid Canadian postal-code"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/targetConstraint"
                }
              ],
              "linkId": "patient_address_postalcode",
              "text": "Postal Code:",
              "type": "string",
              "required": true
            }
          ]
        },
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "key",
                  "valueId": "mobilephone"
                },
                {
                  "url": "severity",
                  "valueCode": "error"
                },
                {
                  "url": "expression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%resource.repeat(item).where(linkId='patient_phone_mobile').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
                  }
                },
                {
                  "url": "human",
                  "valueString": "Must be a valid phone number"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/targetConstraint"
            }
          ],
          "linkId": "patient_phone_mobile",
          "text": "Mobile #:",
          "type": "string"
        },
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "key",
                  "valueId": "homephone"
                },
                {
                  "url": "severity",
                  "valueCode": "error"
                },
                {
                  "url": "expression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%resource.repeat(item).where(linkId='patient_phone_home').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
                  }
                },
                {
                  "url": "human",
                  "valueString": "Must be a valid phone number"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/targetConstraint"
            }
          ],
          "linkId": "patient_phone_home",
          "text": "Home #:",
          "type": "string"
        },
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "key",
                  "valueId": "busphone"
                },
                {
                  "url": "severity",
                  "valueCode": "error"
                },
                {
                  "url": "expression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%resource.repeat(item).where(linkId='patient_phone_business').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
                  }
                },
                {
                  "url": "human",
                  "valueString": "Must be a valid phone number"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/targetConstraint"
            }
          ],
          "linkId": "patient_phone_business",
          "text": "Business #:",
          "type": "string"
        },
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "key",
                  "valueId": "patemail"
                },
                {
                  "url": "severity",
                  "valueCode": "error"
                },
                {
                  "url": "expression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%resource.repeat(item).where(linkId='patient_email').answer.all(value.matches('(?:[a-z0-9!#$%&'*+/=?^_`{|}~-]+(?:\\.[a-z0-9!#$%&'*+/=?^_`{|}~-]+)*|\"(?:[\\x01-\\x08\\x0b\\x0c\\x0e-\\x1f\\x21\\x23-\\x5b\\x5d-\\x7f]|\\\\[\\x01-\\x09\\x0b\\x0c\\x0e-\\x7f])*\")@(?:(?:[a-z0-9](?:[a-z0-9-]*[a-z0-9])?\\.)+[a-z0-9](?:[a-z0-9-]*[a-z0-9])?|\\[(?:(?:(2(5[0-5]|[0-4][0-9])|1[0-9][0-9]|[1-9]?[0-9]))\\.){3}(?:(2(5[0-5]|[0-4][0-9])|1[0-9][0-9]|[1-9]?[0-9])|[a-z0-9-]*[a-z0-9]:(?:[\\x01-\\x08\\x0b\\x0c\\x0e-\\x1f\\x21-\\x5a\\x53-\\x7f]|\\\\[\\x01-\\x09\\x0b\\x0c\\x0e-\\x7f])+)\\])'))"
                  }
                },
                {
                  "url": "human",
                  "valueString": "Must be a valid email address"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/targetConstraint"
            }
          ],
          "linkId": "patient_email",
          "text": "Email:",
          "type": "string"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
          "valueString": "background-color:grey;border-style:solid;"
        }
      ],
      "linkId": "additionalinfo_header",
      "text": "[Optional] Additional Patient Information",
      "_text": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
            "valueString": "[Optional]&#xa0;Additional&#xa0;Patient&#xa0;Information<br/>"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
            "valueString": "font-weight:bold;"
          }
        ]
      },
      "type": "group",
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
              "valueCode": "horizontal"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/item-controls",
                    "code": "push-button",
                    "display": "Push Button"
                  }
                ]
              }
            }
          ],
          "linkId": "additionalinfo_sexassignedatbirth",
          "text": "Sex assigned at birth:",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA3-6",
                "display": "Female"
              }
            },
            {
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA2-8",
                "display": "Male"
              }
            },
            {
              "valueCoding": {
                "system": "http://example.org/CodeSystem/exampleCS",
                "code": "Intersex",
                "display": "Intersex"
              }
            },
            {
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA4489-6",
                "display": "Unknown"
              }
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/item-controls",
                    "code": "push-button",
                    "display": "Push Button"
                  }
                ]
              }
            }
          ],
          "linkId": "additionalinfo_pronouns",
          "text": "Pronouns:",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA29519-8",
                "display": "she/her/her/hers/herself"
              }
            },
            {
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA29518-0",
                "display": "he/him/his/his/himself"
              }
            },
            {
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA29520-6",
                "display": "they/them/their/theirs/themselves"
              }
            },
            {
              "valueCoding": {
                "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                "code": "OTH",
                "display": "other"
              }
            }
          ],
          "item": [
            {
              "linkId": "additionalinfo_pronouns_other",
              "text": "Other pronouns:",
              "type": "string",
              "enableWhen": [
                {
                  "question": "additionalinfo_pronouns",
                  "operator": "=",
                  "answerCoding": {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                    "code": "OTH",
                    "display": "other"
                  }
                }
              ],
              "enableBehavior": "all",
              "required": true
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
              "valueCode": "horizontal"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/item-controls",
                    "code": "push-button",
                    "display": "Push Button"
                  }
                ]
              }
            }
          ],
          "linkId": "additionalinfo_preferredlanguage",
          "text": "Preferred language:",
          "type": "choice",
          "required": false,
          "answerOption": [
            {
              "valueCoding": {
                "system": "urn:ietf:bcp:47",
                "code": "en",
                "display": "English"
              }
            },
            {
              "valueCoding": {
                "system": "urn:ietf:bcp:47",
                "code": "fr",
                "display": "French"
              }
            },
            {
              "valueCoding": {
                "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                "code": "OTH",
                "display": "other"
              }
            }
          ],
          "item": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                  "valueString": "background-color:white;border-style:solid;"
                }
              ],
              "linkId": "additionalinfo_preferredlanguage_specify",
              "text": "Specify:",
              "type": "string",
              "enableWhen": [
                {
                  "question": "additionalinfo_preferredlanguage",
                  "operator": "=",
                  "answerCoding": {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                    "code": "OTH",
                    "display": "other"
                  }
                }
              ],
              "enableBehavior": "all",
              "required": true
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                  "valueString": "background-color:white;border-style:solid;"
                }
              ],
              "linkId": "additionalinfo_preferredlanguage_translatorrequired",
              "text": "Translator required",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "string",
              "enableWhen": [
                {
                  "question": "additionalinfo_preferredlanguage",
                  "operator": "=",
                  "answerCoding": {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                    "code": "OTH",
                    "display": "other"
                  }
                }
              ],
              "repeats": true,
              "answerOption": [
                {
                  "valueString": "Translator Required"
                }
              ]
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/item-controls",
                    "code": "push-button",
                    "display": "Push Button"
                  }
                ]
              }
            }
          ],
          "linkId": "additionalinfo_bestmethodofcontact",
          "text": "Best method of contact:",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://hl7.org/fhir/contact-point-use",
                "code": "mobile",
                "display": "Mobile"
              }
            },
            {
              "valueCoding": {
                "system": "http://hl7.org/fhir/contact-point-use",
                "code": "home",
                "display": "Home"
              }
            },
            {
              "valueCoding": {
                "system": "http://hl7.org/fhir/contact-point-use",
                "code": "work",
                "display": "Work"
              }
            },
            {
              "valueCoding": {
                "system": "http://hl7.org/fhir/contact-point-system",
                "code": "email",
                "display": "Email"
              }
            }
          ],
          "item": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                  "valueString": "background-color:white;border-style:solid;"
                }
              ],
              "linkId": "additionalinfo_bestmethodofcontact_voicemails",
              "text": "Voicemails acceptable",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "string",
              "enableWhen": [
                {
                  "question": "additionalinfo_bestmethodofcontact",
                  "operator": "=",
                  "answerCoding": {
                    "system": "http://hl7.org/fhir/contact-point-use",
                    "code": "mobile",
                    "display": "Mobile"
                  }
                }
              ],
              "enableBehavior": "any",
              "repeats": true,
              "answerOption": [
                {
                  "valueString": " Voicemails acceptable"
                }
              ]
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "check-box",
                    "display": "Check-box"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
              "valueString": "background-color:white;border-style:solid;"
            }
          ],
          "linkId": "additionalinfo_preferredname_select",
          "text": "Preferred name",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "<br/>"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                "valueString": "display:none;"
              }
            ]
          },
          "type": "string",
          "repeats": true,
          "answerOption": [
            {
              "valueString": "Preferred Name"
            }
          ]
        },
        {
          "linkId": "additionalinfo_preferredname",
          "text": "Prefered name String",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "<br/>"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                "valueString": "display:none;"
              }
            ]
          },
          "type": "string",
          "enableWhen": [
            {
              "question": "additionalinfo_preferredname_select",
              "operator": "=",
              "answerString": "Preferred Name"
            }
          ],
          "enableBehavior": "all"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "check-box",
                    "display": "Check-box"
                  }
                ]
              }
            }
          ],
          "linkId": "additionalinfo_alternatecontact_select",
          "text": "Alternate contact",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "<br/>"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                "valueString": "display:none;"
              }
            ]
          },
          "type": "string",
          "repeats": true,
          "answerOption": [
            {
              "valueString": "Alternate contact"
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
              "valueString": "background-color:white;border-style:solid;"
            }
          ],
          "linkId": "additionalinfo_alternatecontact_name",
          "text": "Name:",
          "type": "string",
          "enableWhen": [
            {
              "question": "additionalinfo_alternatecontact_select",
              "operator": "=",
              "answerString": "Alternate contact"
            }
          ],
          "enableBehavior": "all",
          "required": true
        },
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "key",
                  "valueId": "altphone"
                },
                {
                  "url": "severity",
                  "valueCode": "error"
                },
                {
                  "url": "expression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%resource.repeat(item).where(linkId='additionalinfo_alternatecontact_phone').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
                  }
                },
                {
                  "url": "human",
                  "valueString": "Must be a valid phone number"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/targetConstraint"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
              "valueString": "background-color:white;border-style:solid;"
            }
          ],
          "linkId": "additionalinfo_alternatecontact_phone",
          "text": "Alternate contact phone #:",
          "type": "string",
          "enableWhen": [
            {
              "question": "additionalinfo_alternatecontact_select",
              "operator": "=",
              "answerString": "Alternate contact"
            }
          ],
          "enableBehavior": "all"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
              "valueString": "background-color:white;border-style:solid;"
            }
          ],
          "linkId": "additionalinfo_alternatecontact_relationship",
          "text": "Relationship:",
          "type": "string",
          "enableWhen": [
            {
              "question": "additionalinfo_alternatecontact_select",
              "operator": "=",
              "answerString": "Alternate contact"
            }
          ],
          "enableBehavior": "all"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "radio-button",
                    "display": "Radio Button"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
              "valueCode": "horizontal"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
              "valueString": "background-color:white;border-style:solid;"
            }
          ],
          "linkId": "additionalinfo_alternatecontact_bookingcontact",
          "text": "Is Alternate contact the appointment booking contact?:",
          "type": "choice",
          "enableWhen": [
            {
              "question": "additionalinfo_alternatecontact_select",
              "operator": "=",
              "answerString": "Alternate contact"
            }
          ],
          "enableBehavior": "all",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
                "code": "Y",
                "display": "Yes"
              }
            },
            {
              "valueCoding": {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
                "code": "N",
                "display": "No"
              }
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "check-box",
                    "display": "Check-box"
                  }
                ]
              }
            }
          ],
          "linkId": "additionalinfo_unsafecontacts_select",
          "text": "Unsafe contact persons (do not speak with)",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "<br/>"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                "valueString": "display:none;"
              }
            ]
          },
          "type": "string",
          "repeats": true,
          "answerOption": [
            {
              "valueString": "Unsafe contact persons (do not speak with)"
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "check-box",
                    "display": "Check-box"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
              "valueString": "background-color:white;border-style:solid;"
            }
          ],
          "linkId": "additionalinfo_unsafecontacts_speakwithpatientdirectly",
          "text": "Only speak with patient directly",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "<br/>"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                "valueString": "display:none;"
              }
            ]
          },
          "type": "string",
          "enableWhen": [
            {
              "question": "additionalinfo_unsafecontacts_select",
              "operator": "=",
              "answerString": "Unsafe contact persons (do not speak with)"
            }
          ],
          "enableBehavior": "all",
          "repeats": true,
          "answerOption": [
            {
              "valueString": "Only speak with patient directly"
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
              "valueString": "background-color:white;border-style:solid;"
            }
          ],
          "linkId": "additionalinfo_unsafecontacts_donotspeakwith",
          "text": "Do not speak with:",
          "type": "string",
          "enableWhen": [
            {
              "question": "additionalinfo_unsafecontacts_select",
              "operator": "=",
              "answerString": "Unsafe contact persons (do not speak with)"
            }
          ],
          "enableBehavior": "all"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "check-box",
                    "display": "Check-box"
                  }
                ]
              }
            }
          ],
          "linkId": "additionalinfo_accessibilityconcernsordisability_selectt",
          "text": "Accessibility concerns or disability",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "<br/>"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                "valueString": "display:none;"
              }
            ]
          },
          "type": "string",
          "repeats": true,
          "answerOption": [
            {
              "valueString": "Accessibility concerns or disability"
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
              "valueCode": "horizontal"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/item-controls",
                    "code": "push-button",
                    "display": "Push Button"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
              "valueString": "background-color:white;border-style:solid;"
            }
          ],
          "linkId": "additionalinfo_accessibilityconcernsordisability",
          "text": "Accessibility concerns Options",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "<br/>"
              }
            ]
          },
          "type": "choice",
          "enableWhen": [
            {
              "question": "additionalinfo_accessibilityconcernsordisability_selectt",
              "operator": "=",
              "answerString": "Accessibility concerns or disability"
            }
          ],
          "repeats": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "129839007",
                "display": "At risk for falls"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "301621006",
                "display": "Uses lift"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "105503008",
                "display": "Dependence on wheelchair"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "15188001",
                "display": "Hearing impaired"
              }
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "check-box",
                    "display": "Check-box"
                  }
                ]
              }
            }
          ],
          "linkId": "additionalinfo_specialconsiderations_select",
          "text": "Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "<br/>"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                "valueString": "display:none;"
              }
            ]
          },
          "type": "string",
          "repeats": true,
          "answerOption": [
            {
              "valueString": "Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)"
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
              "valueString": "background-color:white;border-style:solid;"
            }
          ],
          "linkId": "additionalinfo_specialconsiderations",
          "text": "Details of special considerations:",
          "type": "text",
          "enableWhen": [
            {
              "question": "additionalinfo_specialconsiderations_select",
              "operator": "=",
              "answerString": "Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)"
            }
          ],
          "required": true
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "check-box",
                    "display": "Check-box"
                  }
                ]
              }
            }
          ],
          "linkId": "additionalinfo_sendcopiestoadditionalproviders",
          "text": "Send copies of reports to additional providers",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "<br/>"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                "valueString": "display:none;"
              }
            ]
          },
          "type": "string",
          "repeats": true,
          "answerOption": [
            {
              "valueString": "Send copies of reports to additional providers"
            }
          ]
        },
        {
          "linkId": "additionalinfo_sendcopiestoadditionalproviders_names",
          "text": "Name(s):",
          "type": "string",
          "enableWhen": [
            {
              "question": "additionalinfo_sendcopiestoadditionalproviders",
              "operator": "=",
              "answerString": "Send copies of reports to additional providers"
            }
          ],
          "enableBehavior": "all",
          "required": true,
          "item": [
            {
              "linkId": "additionalinfo_sendcopiestoadditionalproviders_contactinfo",
              "text": "Contact information:",
              "type": "string",
              "enableWhen": [
                {
                  "question": "additionalinfo_sendcopiestoadditionalproviders",
                  "operator": "=",
                  "answerString": "Send copies of reports to additional providers"
                }
              ],
              "enableBehavior": "all",
              "required": true
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                }
              ],
              "linkId": "additionalinfo_sendcopiestoadditionalproviders_ispcp",
              "text": "This is the Primary Care Provider",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "string",
              "enableWhen": [
                {
                  "question": "additionalinfo_sendcopiestoadditionalproviders",
                  "operator": "=",
                  "answerString": "Send copies of reports to additional providers"
                }
              ],
              "enableBehavior": "all",
              "repeats": true,
              "answerOption": [
                {
                  "valueString": "This is the Primary Care Provider"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
          "valueString": "background-color:grey;border-style:solid;"
        },
        {
          "extension": [
            {
              "url": "sortIndex",
              "valuePositiveInt": 1
            },
            {
              "url": "text",
              "valueString": "Referral Details",
              "_valueString": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>Referral Details<br/>"
                  }
                ]
              }
            },
            {
              "url": "style",
              "valueString": "font-weight:bold;text-decoration:underline;"
            },
            {
              "url": "groupItems",
              "valueBoolean": false
            }
          ],
          "url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info"
        }
      ],
      "linkId": "102173268919",
      "text": "Referral Details",
      "_text": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
            "valueString": "Referral&#xa0;Details<br/>"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
            "valueString": "font-weight:bold;color:#202035;"
          }
        ]
      },
      "type": "group",
      "item": [
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "true"
                  }
                },
                {
                  "url": "sortIndex",
                  "valuePositiveInt": 1
                },
                {
                  "url": "text",
                  "valueString": "Triage Considerations"
                },
                {
                  "url": "style",
                  "valueString": "font-weight:bold;"
                }
              ],
              "url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info"
            }
          ],
          "linkId": "cardio_triagecons",
          "text": "Triage Considerations",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "Triage&#xa0;Considerations<br/><br/>"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                "valueString": "font-weight:bold;"
              }
            ]
          },
          "type": "group",
          "item": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/item-controls",
                        "code": "push-button",
                        "display": "Push Button"
                      }
                    ]
                  }
                },
                {
                  "extension": [
                    {
                      "url": "sortIndex",
                      "valuePositiveInt": 1
                    },
                    {
                      "url": "text",
                      "valueString": "Requested Priority:"
                    },
                    {
                      "url": "sameLine",
                      "valueBoolean": true
                    },
                    {
                      "url": "answerStyle",
                      "valueString": "font-weight:bold;color:#EE6B00;"
                    }
                  ],
                  "url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info"
                }
              ],
              "linkId": "referral_requestedpriority",
              "text": "Requested Priority:",
              "type": "choice",
              "required": true,
              "answerOption": [
                {
                  "extension": [
                    {
                      "extension": [
                        {
                          "url": "text",
                          "valueString": "Routine"
                        },
                        {
                          "url": "style",
                          "valueString": "font-weight:bold;color:#EE6B00;"
                        }
                      ],
                      "url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info"
                    }
                  ],
                  "valueCoding": {
                    "system": "http://hl7.org/fhir/request-priority",
                    "code": "routine",
                    "display": "Routine"
                  },
                  "initialSelected": true
                },
                {
                  "valueCoding": {
                    "system": "http://hl7.org/fhir/request-priority",
                    "code": "urgent",
                    "display": "Urgent"
                  }
                }
              ],
              "item": [
                {
                  "linkId": "referral_requestedpriority_urgentreason",
                  "text": "Reason for urgent triage",
                  "type": "string",
                  "enableWhen": [
                    {
                      "question": "referral_requestedpriority",
                      "operator": "=",
                      "answerCoding": {
                        "system": "http://hl7.org/fhir/request-priority",
                        "code": "urgent",
                        "display": "Urgent"
                      }
                    }
                  ],
                  "required": true
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                },
                {
                  "extension": [
                    {
                      "url": "sortIndex",
                      "valuePositiveInt": 2
                    },
                    {
                      "url": "suppressQuestionText",
                      "valueBoolean": true
                    },
                    {
                      "url": "text",
                      "valueString": "Second Opinion"
                    }
                  ],
                  "url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info"
                }
              ],
              "linkId": "referral_secondopinion",
              "text": "Second Opinion",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "choice",
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "77406008",
                    "display": "Second or third medical opinion"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                  "valueString": "background-color:white;border-style:solid;"
                }
              ],
              "linkId": "referral_secondopinion_reason",
              "text": "Reason for second opinion:",
              "type": "text",
              "enableWhen": [
                {
                  "question": "referral_secondopinion",
                  "operator": "=",
                  "answerCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "77406008",
                    "display": "Second or third medical opinion"
                  }
                }
              ]
            }
          ]
        },
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "sortIndex",
                  "valuePositiveInt": 2
                },
                {
                  "url": "text",
                  "valueString": "Service(s) Requested"
                },
                {
                  "url": "style",
                  "valueString": "font-weight:bold;"
                }
              ],
              "url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info"
            }
          ],
          "linkId": "695991571585",
          "text": "Service(s) Requested Select all that apply:",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "<b>Service(s)&#xa0;Requested</b><br/><i>Select&#xa0;all&#xa0;that&#xa0;apply:</i><br/><br/>"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                "valueString": "color:Gray20;"
              }
            ]
          },
          "type": "group",
          "required": true,
          "item": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
                  "valueExpression": {
                    "description": "Calculates HSC services based on selected checkboxes for cardiac testing and cardiology consult",
                    "language": "text/fhirpath",
                    "expression": "iif(%resource.item.where(linkId='223886162384').answer.value.exists(), 'CARDIOLOGY_SERVICES', '') + iif(%resource.item.where(linkId='223886162384').answer.value.exists() and %resource.item.where(linkId='785727177547').answer.value.exists(), '|', '') + iif(%resource.item.where(linkId='785727177547').answer.value.exists(), 'CARDIOLOGY', '')"
                  }
                },
                {
                  "extension": [
                    {
                      "url": "text",
                      "valueString": "HSCs Assigned:"
                    },
                    {
                      "url": "style",
                      "valueString": "font-weight:bold;"
                    }
                  ],
                  "url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
                  "valueBoolean": true
                }
              ],
              "linkId": "referralService",
              "text": "HSCs Assigned:",
              "type": "string",
              "readOnly": true
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                }
              ],
              "linkId": "223886162384",
              "text": "Cardiac Testing",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "choice",
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                    "code": "20001",
                    "display": "Cardiac Testing"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                  "valueString": "background-color:white;border-style:solid;"
                }
              ],
              "linkId": "660331267409",
              "text": "Exam(s) Requested",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "Exam(s)&#xa0;Requested<br/><br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "color:Gray20;font-weight:bold;"
                  }
                ]
              },
              "type": "group",
              "enableWhen": [
                {
                  "question": "223886162384",
                  "operator": "=",
                  "answerCoding": {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                    "code": "20001",
                    "display": "Cardiac Testing"
                  }
                }
              ],
              "enableBehavior": "all",
              "item": [
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                      "valueCode": "horizontal"
                    },
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "http://hl7.org/fhir/questionnaire-item-control",
                            "code": "check-box",
                            "display": "Check-box"
                          }
                        ]
                      }
                    }
                  ],
                  "linkId": "720409326878",
                  "text": "24 Hour Ambulatory Blood Pressure Monitoring (Not OHIP Covered)",
                  "_text": {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                        "valueString": "<br/>"
                      },
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                        "valueString": "display:none;"
                      }
                    ]
                  },
                  "type": "choice",
                  "repeats": true,
                  "answerOption": [
                    {
                      "valueCoding": {
                        "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                        "code": "20003",
                        "display": "24 Hour Ambulatory Blood Pressure Monitoring (Not OHIP Covered)"
                      }
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                      "valueCode": "horizontal"
                    },
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "http://hl7.org/fhir/questionnaire-item-control",
                            "code": "check-box",
                            "display": "Check-box"
                          }
                        ]
                      }
                    }
                  ],
                  "linkId": "960455115596",
                  "text": "Coronary Angiogram",
                  "_text": {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                        "valueString": "<br/>"
                      },
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                        "valueString": "display:none;"
                      }
                    ]
                  },
                  "type": "choice",
                  "repeats": true,
                  "answerOption": [
                    {
                      "valueCoding": {
                        "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                        "code": "20004",
                        "display": "Coronary Angiogram"
                      }
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                      "valueCode": "horizontal"
                    },
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "http://hl7.org/fhir/questionnaire-item-control",
                            "code": "check-box",
                            "display": "Check-box"
                          }
                        ]
                      }
                    }
                  ],
                  "linkId": "297634898828",
                  "text": "Echocardiogram - Resting",
                  "_text": {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                        "valueString": "<br/>"
                      },
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                        "valueString": "display:none;"
                      }
                    ]
                  },
                  "type": "choice",
                  "repeats": true,
                  "answerOption": [
                    {
                      "valueCoding": {
                        "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                        "code": "20005",
                        "display": "Echocardiogram - Resting"
                      }
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                      "valueString": "background-color:grey;border-style:solid;"
                    }
                  ],
                  "linkId": "443484577720",
                  "text": "sub Echocardiogram - Resting",
                  "_text": {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                        "valueString": "<br/>"
                      },
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                        "valueString": "display:none;"
                      }
                    ]
                  },
                  "type": "group",
                  "enableWhen": [
                    {
                      "question": "297634898828",
                      "operator": "=",
                      "answerCoding": {
                        "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                        "code": "20005",
                        "display": "Echocardiogram - Resting"
                      }
                    }
                  ],
                  "item": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                          "valueCodeableConcept": {
                            "coding": [
                              {
                                "system": "http://hl7.org/fhir/questionnaire-item-control",
                                "code": "check-box",
                                "display": "Check-box"
                              }
                            ]
                          }
                        }
                      ],
                      "linkId": "165530569567",
                      "text": "Echocardiogram (2D)",
                      "_text": {
                        "extension": [
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                            "valueString": "<br/>"
                          },
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                            "valueString": "display:none;"
                          }
                        ]
                      },
                      "type": "choice",
                      "repeats": true,
                      "answerOption": [
                        {
                          "valueCoding": {
                            "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                            "code": "20012",
                            "display": "Echocardiogram (2D)"
                          }
                        }
                      ]
                    },
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                          "valueCode": "horizontal"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                          "valueCodeableConcept": {
                            "coding": [
                              {
                                "system": "http://hl7.org/fhir/questionnaire-item-control",
                                "code": "check-box",
                                "display": "Check-box"
                              }
                            ]
                          }
                        }
                      ],
                      "linkId": "286552421895",
                      "text": "Echocardiogram with Contrast",
                      "_text": {
                        "extension": [
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                            "valueString": "<br/>"
                          },
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                            "valueString": "display:none;"
                          }
                        ]
                      },
                      "type": "choice",
                      "repeats": true,
                      "answerOption": [
                        {
                          "valueCoding": {
                            "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                            "code": "20013",
                            "display": "Echocardiogram with Contrast"
                          }
                        }
                      ]
                    },
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                          "valueCodeableConcept": {
                            "coding": [
                              {
                                "system": "http://hl7.org/fhir/questionnaire-item-control",
                                "code": "check-box",
                                "display": "Check-box"
                              }
                            ]
                          }
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                          "valueCode": "horizontal"
                        }
                      ],
                      "linkId": "910527687300",
                      "text": "Echocardiogram with Saline (Bubble)",
                      "_text": {
                        "extension": [
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                            "valueString": "<br/>"
                          },
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                            "valueString": "display:none;"
                          }
                        ]
                      },
                      "type": "choice",
                      "repeats": true,
                      "answerOption": [
                        {
                          "valueCoding": {
                            "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                            "code": "20014",
                            "display": "Echocardiogram with Saline (Bubble)"
                          }
                        }
                      ]
                    },
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                          "valueCodeableConcept": {
                            "coding": [
                              {
                                "system": "http://hl7.org/fhir/questionnaire-item-control",
                                "code": "check-box",
                                "display": "Check-box"
                              }
                            ]
                          }
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                          "valueCode": "horizontal"
                        }
                      ],
                      "linkId": "657824763133",
                      "text": "Pediatric Echocardiogram",
                      "_text": {
                        "extension": [
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                            "valueString": "<br/>"
                          },
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                            "valueString": "display:none;"
                          }
                        ]
                      },
                      "type": "choice",
                      "repeats": true,
                      "answerOption": [
                        {
                          "valueCoding": {
                            "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                            "code": "20015",
                            "display": "Pediatric Echocardiogram"
                          }
                        }
                      ]
                    },
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                          "valueCode": "horizontal"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                          "valueCodeableConcept": {
                            "coding": [
                              {
                                "system": "http://hl7.org/fhir/questionnaire-item-control",
                                "code": "check-box",
                                "display": "Check-box"
                              }
                            ]
                          }
                        }
                      ],
                      "linkId": "992743200182",
                      "text": "Transesophageal Echocardiogram (TEE)",
                      "_text": {
                        "extension": [
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                            "valueString": "<br/>"
                          },
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                            "valueString": "display:none;"
                          }
                        ]
                      },
                      "type": "choice",
                      "repeats": true,
                      "answerOption": [
                        {
                          "valueCoding": {
                            "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                            "code": "20016",
                            "display": "Transesophageal Echocardiogram (TEE)"
                          }
                        }
                      ]
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                      "valueCode": "horizontal"
                    },
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "http://hl7.org/fhir/questionnaire-item-control",
                            "code": "check-box",
                            "display": "Check-box"
                          }
                        ]
                      }
                    }
                  ],
                  "linkId": "894277763438",
                  "text": "Electrocardiogram (ECG)",
                  "_text": {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                        "valueString": "<br/>"
                      },
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                        "valueString": "display:none;"
                      }
                    ]
                  },
                  "type": "choice",
                  "repeats": true,
                  "answerOption": [
                    {
                      "valueCoding": {
                        "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                        "code": "20006",
                        "display": "Electrocardiogram (ECG)"
                      }
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                      "valueCode": "horizontal"
                    },
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "http://hl7.org/fhir/questionnaire-item-control",
                            "code": "check-box",
                            "display": "Check-box"
                          }
                        ]
                      }
                    }
                  ],
                  "linkId": "279226023495",
                  "text": "Holter Monitoring",
                  "_text": {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                        "valueString": "<br/>"
                      },
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                        "valueString": "display:none;"
                      }
                    ]
                  },
                  "type": "choice",
                  "repeats": true,
                  "answerOption": [
                    {
                      "valueCoding": {
                        "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                        "code": "20007",
                        "display": "Holter Monitoring"
                      }
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                      "valueString": "background-color:grey;border-style:solid;"
                    }
                  ],
                  "linkId": "440449731882",
                  "text": "sub holter monitoring",
                  "_text": {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                        "valueString": "<br/>"
                      },
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                        "valueString": "display:none;"
                      }
                    ]
                  },
                  "type": "group",
                  "enableWhen": [
                    {
                      "question": "279226023495",
                      "operator": "=",
                      "answerCoding": {
                        "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                        "code": "20007",
                        "display": "Holter Monitoring"
                      }
                    }
                  ],
                  "item": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                          "valueCodeableConcept": {
                            "coding": [
                              {
                                "system": "http://hl7.org/fhir/questionnaire-item-control",
                                "code": "check-box",
                                "display": "Check-box"
                              }
                            ]
                          }
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                          "valueCode": "horizontal"
                        }
                      ],
                      "linkId": "671328703851",
                      "text": "24 Hours",
                      "_text": {
                        "extension": [
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                            "valueString": "<br/>"
                          },
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                            "valueString": "display:none;"
                          }
                        ]
                      },
                      "type": "choice",
                      "repeats": true,
                      "answerOption": [
                        {
                          "valueCoding": {
                            "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                            "code": "20017",
                            "display": "24 Hours"
                          }
                        }
                      ]
                    },
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                          "valueCodeableConcept": {
                            "coding": [
                              {
                                "system": "http://hl7.org/fhir/questionnaire-item-control",
                                "code": "check-box",
                                "display": "Check-box"
                              }
                            ]
                          }
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                          "valueCode": "horizontal"
                        }
                      ],
                      "linkId": "423992261841",
                      "text": "48 Hours",
                      "_text": {
                        "extension": [
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                            "valueString": "<br/>"
                          },
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                            "valueString": "display:none;"
                          }
                        ]
                      },
                      "type": "choice",
                      "repeats": true,
                      "answerOption": [
                        {
                          "valueCoding": {
                            "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                            "code": "20018",
                            "display": "48 Hours"
                          }
                        }
                      ]
                    },
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                          "valueCodeableConcept": {
                            "coding": [
                              {
                                "system": "http://hl7.org/fhir/questionnaire-item-control",
                                "code": "check-box",
                                "display": "Check-box"
                              }
                            ]
                          }
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                          "valueCode": "horizontal"
                        }
                      ],
                      "linkId": "419924239187",
                      "text": "72 Hours",
                      "_text": {
                        "extension": [
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                            "valueString": "<br/>"
                          },
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                            "valueString": "display:none;"
                          }
                        ]
                      },
                      "type": "choice",
                      "repeats": true,
                      "answerOption": [
                        {
                          "valueCoding": {
                            "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                            "code": "20019",
                            "display": "72 Hours"
                          }
                        }
                      ]
                    },
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                          "valueCodeableConcept": {
                            "coding": [
                              {
                                "system": "http://hl7.org/fhir/questionnaire-item-control",
                                "code": "check-box",
                                "display": "Check-box"
                              }
                            ]
                          }
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                          "valueCode": "horizontal"
                        }
                      ],
                      "linkId": "731054417270",
                      "text": "7 Days",
                      "_text": {
                        "extension": [
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                            "valueString": "<br/>"
                          },
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                            "valueString": "display:none;"
                          }
                        ]
                      },
                      "type": "choice",
                      "repeats": true,
                      "answerOption": [
                        {
                          "valueCoding": {
                            "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                            "code": "20020",
                            "display": "7 Days"
                          }
                        }
                      ]
                    },
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                          "valueCodeableConcept": {
                            "coding": [
                              {
                                "system": "http://hl7.org/fhir/questionnaire-item-control",
                                "code": "check-box",
                                "display": "Check-box"
                              }
                            ]
                          }
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                          "valueCode": "horizontal"
                        }
                      ],
                      "linkId": "235876421044",
                      "text": "14 Days",
                      "_text": {
                        "extension": [
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                            "valueString": "<br/>"
                          },
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                            "valueString": "display:none;"
                          }
                        ]
                      },
                      "type": "choice",
                      "repeats": true,
                      "answerOption": [
                        {
                          "valueCoding": {
                            "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                            "code": "20021",
                            "display": "14 Days"
                          }
                        }
                      ]
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                      "valueCode": "horizontal"
                    },
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "http://hl7.org/fhir/questionnaire-item-control",
                            "code": "check-box",
                            "display": "Check-box"
                          }
                        ]
                      }
                    }
                  ],
                  "linkId": "374742834400",
                  "text": "Loop / Event Monitor",
                  "_text": {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                        "valueString": "<br/>"
                      },
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                        "valueString": "display:none;"
                      }
                    ]
                  },
                  "type": "choice",
                  "repeats": true,
                  "answerOption": [
                    {
                      "valueCoding": {
                        "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                        "code": "20008",
                        "display": "Loop / Event Monitor"
                      }
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "http://hl7.org/fhir/questionnaire-item-control",
                            "code": "check-box",
                            "display": "Check-box"
                          }
                        ]
                      }
                    },
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                      "valueCode": "horizontal"
                    }
                  ],
                  "linkId": "159161544747",
                  "text": "Cardiovascular stress testing",
                  "_text": {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                        "valueString": "<br/>"
                      },
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                        "valueString": "display:none;"
                      }
                    ]
                  },
                  "type": "choice",
                  "repeats": true,
                  "answerOption": [
                    {
                      "valueCoding": {
                        "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                        "code": "20009",
                        "display": "Stress Testing"
                      }
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                      "valueString": "background-color:grey;border-style:solid;"
                    }
                  ],
                  "linkId": "370275060390",
                  "text": "Sub Stress Testing",
                  "_text": {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                        "valueString": "<br/>"
                      },
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                        "valueString": "display:none;"
                      }
                    ]
                  },
                  "type": "group",
                  "enableWhen": [
                    {
                      "question": "159161544747",
                      "operator": "=",
                      "answerCoding": {
                        "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                        "code": "20009",
                        "display": "Stress Testing"
                      }
                    }
                  ],
                  "item": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                          "valueCode": "horizontal"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                          "valueCodeableConcept": {
                            "coding": [
                              {
                                "system": "http://hl7.org/fhir/questionnaire-item-control",
                                "code": "check-box",
                                "display": "Check-box"
                              }
                            ]
                          }
                        }
                      ],
                      "linkId": "814218498309",
                      "text": "ECG - Exercise Stress Test",
                      "_text": {
                        "extension": [
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                            "valueString": "<br/>"
                          },
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                            "valueString": "display:none;"
                          }
                        ]
                      },
                      "type": "choice",
                      "repeats": true,
                      "answerOption": [
                        {
                          "valueCoding": {
                            "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                            "code": "20022",
                            "display": "ECG - Exercise Stress Test"
                          }
                        }
                      ]
                    },
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                          "valueCode": "horizontal"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                          "valueCodeableConcept": {
                            "coding": [
                              {
                                "system": "http://hl7.org/fhir/questionnaire-item-control",
                                "code": "check-box",
                                "display": "Check-box"
                              }
                            ]
                          }
                        }
                      ],
                      "linkId": "307107493993",
                      "text": "ECG - Dobutamine/Persantine Stress Test",
                      "_text": {
                        "extension": [
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                            "valueString": "<br/>"
                          },
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                            "valueString": "display:none;"
                          }
                        ]
                      },
                      "type": "choice",
                      "repeats": true,
                      "answerOption": [
                        {
                          "valueCoding": {
                            "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                            "code": "20023",
                            "display": "ECG - Dobutamine/Persantine Stress Test"
                          }
                        }
                      ]
                    },
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                          "valueCodeableConcept": {
                            "coding": [
                              {
                                "system": "http://hl7.org/fhir/questionnaire-item-control",
                                "code": "check-box",
                                "display": "Check-box"
                              }
                            ]
                          }
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                          "valueCode": "horizontal"
                        }
                      ],
                      "linkId": "805303414102",
                      "text": "Echocardiogram - Exercise Stress Test",
                      "_text": {
                        "extension": [
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                            "valueString": "<br/>"
                          },
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                            "valueString": "display:none;"
                          }
                        ]
                      },
                      "type": "choice",
                      "repeats": true,
                      "answerOption": [
                        {
                          "valueCoding": {
                            "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                            "code": "20024",
                            "display": "Echocardiogram - Exercise Stress Test"
                          }
                        }
                      ]
                    },
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                          "valueCodeableConcept": {
                            "coding": [
                              {
                                "system": "http://hl7.org/fhir/questionnaire-item-control",
                                "code": "check-box",
                                "display": "Check-box"
                              }
                            ]
                          }
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                          "valueCode": "horizontal"
                        }
                      ],
                      "linkId": "193586908489",
                      "text": "Echocardiogram - Dobutamine/Persantine Stress Test",
                      "_text": {
                        "extension": [
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                            "valueString": "<br/>"
                          },
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                            "valueString": "display:none;"
                          }
                        ]
                      },
                      "type": "choice",
                      "repeats": true,
                      "answerOption": [
                        {
                          "valueCoding": {
                            "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                            "code": "20025",
                            "display": "Echocardiogram - Dobutamine/Persantine Stress Test"
                          }
                        }
                      ]
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "http://hl7.org/fhir/questionnaire-item-control",
                            "code": "check-box",
                            "display": "Check-box"
                          }
                        ]
                      }
                    },
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                      "valueCode": "horizontal"
                    }
                  ],
                  "linkId": "918517139023",
                  "text": "Nuclear Medicine",
                  "_text": {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                        "valueString": "<br/>"
                      },
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                        "valueString": "display:none;"
                      }
                    ]
                  },
                  "type": "choice",
                  "repeats": true,
                  "answerOption": [
                    {
                      "valueCoding": {
                        "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                        "code": "20010",
                        "display": "Nuclear Medicine"
                      }
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                      "valueString": "background-color:grey;border-style:solid;"
                    }
                  ],
                  "linkId": "222686221935",
                  "text": "sub Nuclear Medicine",
                  "_text": {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                        "valueString": "<br/>"
                      },
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                        "valueString": "display:none;"
                      }
                    ]
                  },
                  "type": "group",
                  "enableWhen": [
                    {
                      "question": "918517139023",
                      "operator": "=",
                      "answerCoding": {
                        "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                        "code": "20010",
                        "display": "Nuclear Medicine"
                      }
                    }
                  ],
                  "item": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                          "valueCode": "horizontal"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                          "valueCodeableConcept": {
                            "coding": [
                              {
                                "system": "http://hl7.org/fhir/questionnaire-item-control",
                                "code": "check-box",
                                "display": "Check-box"
                              }
                            ]
                          }
                        }
                      ],
                      "linkId": "924189648184",
                      "text": "MUGA - Resting",
                      "_text": {
                        "extension": [
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                            "valueString": "<br/>"
                          },
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                            "valueString": "display:none;"
                          }
                        ]
                      },
                      "type": "choice",
                      "repeats": true,
                      "answerOption": [
                        {
                          "valueCoding": {
                            "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                            "code": "20026",
                            "display": "MUGA - Resting"
                          }
                        }
                      ]
                    },
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                          "valueCode": "horizontal"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                          "valueCodeableConcept": {
                            "coding": [
                              {
                                "system": "http://hl7.org/fhir/questionnaire-item-control",
                                "code": "check-box",
                                "display": "Check-box"
                              }
                            ]
                          }
                        }
                      ],
                      "linkId": "857163514910",
                      "text": "Cardiac Pyrophosphate",
                      "_text": {
                        "extension": [
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                            "valueString": "<br/>"
                          },
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                            "valueString": "display:none;"
                          }
                        ]
                      },
                      "type": "choice",
                      "repeats": true,
                      "answerOption": [
                        {
                          "valueCoding": {
                            "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                            "code": "20027",
                            "display": "Cardiac Pyrophosphate"
                          }
                        }
                      ]
                    },
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                          "valueCode": "horizontal"
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                          "valueCodeableConcept": {
                            "coding": [
                              {
                                "system": "http://hl7.org/fhir/questionnaire-item-control",
                                "code": "check-box",
                                "display": "Check-box"
                              }
                            ]
                          }
                        }
                      ],
                      "linkId": "892165959617",
                      "text": "Myocardial perfusion scan",
                      "_text": {
                        "extension": [
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                            "valueString": "<br/>"
                          },
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                            "valueString": "display:none;"
                          }
                        ]
                      },
                      "type": "choice",
                      "repeats": true,
                      "answerOption": [
                        {
                          "valueCoding": {
                            "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                            "code": "20028",
                            "display": "MIBI Scans / Myocardial Perfusion Imaging (MPI):"
                          }
                        }
                      ]
                    },
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                          "valueCodeableConcept": {
                            "coding": [
                              {
                                "system": "http://hl7.org/fhir/questionnaire-item-control",
                                "code": "radio-button",
                                "display": "Radio Button"
                              }
                            ]
                          }
                        },
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                          "valueString": "background-color:white;border-style:solid;"
                        }
                      ],
                      "linkId": "538288549138",
                      "text": "sub MIBI",
                      "_text": {
                        "extension": [
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                            "valueString": "<br/>"
                          },
                          {
                            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                            "valueString": "display:none;"
                          }
                        ]
                      },
                      "type": "group",
                      "enableWhen": [
                        {
                          "question": "892165959617",
                          "operator": "=",
                          "answerCoding": {
                            "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                            "code": "20028",
                            "display": "MIBI Scans / Myocardial Perfusion Imaging (MPI):"
                          }
                        }
                      ],
                      "item": [
                        {
                          "extension": [
                            {
                              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                              "valueCodeableConcept": {
                                "coding": [
                                  {
                                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                                    "code": "check-box",
                                    "display": "Check-box"
                                  }
                                ]
                              }
                            }
                          ],
                          "linkId": "373435981917",
                          "text": "MIBI Scan - Exercise Stress Test",
                          "_text": {
                            "extension": [
                              {
                                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                                "valueString": "<br/>"
                              },
                              {
                                "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                                "valueString": "display:none;"
                              }
                            ]
                          },
                          "type": "string",
                          "repeats": true,
                          "answerOption": [
                            {
                              "valueString": "MIBI Scan - Exercise Stress Test"
                            }
                          ]
                        },
                        {
                          "extension": [
                            {
                              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                              "valueCodeableConcept": {
                                "coding": [
                                  {
                                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                                    "code": "check-box",
                                    "display": "Check-box"
                                  }
                                ]
                              }
                            }
                          ],
                          "linkId": "434394942688",
                          "text": "MIBI Scan - Dobutamine/Persantine Stress Test",
                          "_text": {
                            "extension": [
                              {
                                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                                "valueString": "<br/>"
                              },
                              {
                                "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                                "valueString": "display:none;"
                              }
                            ]
                          },
                          "type": "string",
                          "repeats": true,
                          "answerOption": [
                            {
                              "valueString": "MIBI Scan - Dobutamine/Persantine Stress Test"
                            }
                          ]
                        },
                        {
                          "extension": [
                            {
                              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                              "valueCodeableConcept": {
                                "coding": [
                                  {
                                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                                    "code": "check-box",
                                    "display": "Check-box"
                                  }
                                ]
                              }
                            }
                          ],
                          "linkId": "913594478162",
                          "text": "Thallium Viability Test",
                          "_text": {
                            "extension": [
                              {
                                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                                "valueString": "<br/>"
                              },
                              {
                                "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                                "valueString": "display:none;"
                              }
                            ]
                          },
                          "type": "string",
                          "repeats": true,
                          "answerOption": [
                            {
                              "valueString": "Thallium Viability Test"
                            }
                          ]
                        }
                      ]
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                      "valueCode": "horizontal"
                    },
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "http://hl7.org/fhir/questionnaire-item-control",
                            "code": "check-box",
                            "display": "Check-box"
                          }
                        ]
                      }
                    }
                  ],
                  "linkId": "992682216482",
                  "text": "Tilt Table Testing",
                  "_text": {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                        "valueString": "<br/>"
                      },
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                        "valueString": "display:none;"
                      }
                    ]
                  },
                  "type": "choice",
                  "repeats": true,
                  "answerOption": [
                    {
                      "valueCoding": {
                        "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                        "code": "20011",
                        "display": "Tilt Table Testing"
                      }
                    }
                  ]
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                      "valueCode": "horizontal"
                    },
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "http://hl7.org/fhir/questionnaire-item-control",
                            "code": "check-box",
                            "display": "Check-box"
                          }
                        ]
                      }
                    }
                  ],
                  "linkId": "cardiology_referral_services_cardiactesting_other",
                  "text": "Other",
                  "_text": {
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                        "valueString": "<br/>"
                      },
                      {
                        "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                        "valueString": "display:none;"
                      }
                    ]
                  },
                  "type": "choice",
                  "repeats": true,
                  "answerOption": [
                    {
                      "valueCoding": {
                        "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                        "code": "OTH",
                        "display": "other"
                      }
                    }
                  ]
                },
                {
                  "linkId": "cardiology_referral_services_cardiactesting_other_specify",
                  "text": "Specify",
                  "type": "text",
                  "enableWhen": [
                    {
                      "question": "cardiology_referral_services_cardiactesting_other",
                      "operator": "=",
                      "answerCoding": {
                        "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                        "code": "OTH",
                        "display": "other"
                      }
                    }
                  ],
                  "enableBehavior": "all",
                  "required": true
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                }
              ],
              "linkId": "785727177547",
              "text": "Cardiology Consultation",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "choice",
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                    "code": "20002",
                    "display": "Cardiology Consultation"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "186952778859",
          "text": "Concern(s) / Indication(s) Triggering Referral Select all that apply:",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "<b>Concern(s)&#xa0;/&#xa0;Indication(s)&#xa0;Triggering&#xa0;Referral</b><br/><i>Select&#xa0;all&#xa0;that&#xa0;apply:</i><br/>"
              }
            ]
          },
          "type": "group",
          "required": true,
          "item": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                }
              ],
              "linkId": "219569805461",
              "text": "Arrhythmias or Palpitations",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "choice",
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "698247007",
                    "display": "Cardiac arrhythmia"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                }
              ],
              "linkId": "571934328499",
              "text": "Cardiovascular Risk Assessment",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "choice",
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                    "code": "20033",
                    "display": "Cardiovascular Risk Assessment"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                }
              ],
              "linkId": "459737733395",
              "text": "Chest Pain or Angina",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "choice",
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                    "code": "20034",
                    "display": "Chest Pain or Angina"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                }
              ],
              "linkId": "929919815516",
              "text": "Congenital Heart Disease",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "choice",
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                    "code": "20035",
                    "display": "Congenital Heart Disease"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                }
              ],
              "linkId": "832263816528",
              "text": "Congestive Heart Failure",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "choice",
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                    "code": "20036",
                    "display": "Congestive Heart Failure"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                }
              ],
              "linkId": "803760213460",
              "text": "Coronary Artery Disease",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "choice",
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                    "code": "20037",
                    "display": "Coronary Artery Disease"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                }
              ],
              "linkId": "129767162379",
              "text": "Dyspnea",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "choice",
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                    "code": "20038",
                    "display": "Dyspnea"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                }
              ],
              "linkId": "116150628533",
              "text": "Hypertension",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "choice",
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                    "code": "20039",
                    "display": "Hypertension"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                }
              ],
              "linkId": "513825527027",
              "text": "Murmur",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "choice",
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                    "code": "20040",
                    "display": "Murmur"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                }
              ],
              "linkId": "975075898688",
              "text": "Pericardial Disease",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "choice",
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                    "code": "20041",
                    "display": "Pericardial Disease"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                }
              ],
              "linkId": "704148928571",
              "text": "Peripheral Edema",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "choice",
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                    "code": "20042",
                    "display": "Peripheral Edema"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                }
              ],
              "linkId": "886489617115",
              "text": "Post-Myocardial Infarction",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "choice",
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                    "code": "20043",
                    "display": "Post-Myocardial Infarction"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                }
              ],
              "linkId": "621745958993",
              "text": "Pre-operative Consultation",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "choice",
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                    "code": "20044",
                    "display": "Pre-operative Consultation"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                  "valueString": "background-color:white;border-style:solid;"
                }
              ],
              "linkId": "873024527134",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "439272007",
                  "display": "Date of procedure"
                }
              ],
              "text": "Procedure Date (if known)",
              "type": "date",
              "enableWhen": [
                {
                  "question": "621745958993",
                  "operator": "=",
                  "answerCoding": {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                    "code": "20044",
                    "display": "Pre-operative Consultation"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                }
              ],
              "linkId": "197975129599",
              "text": "Syncope",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "choice",
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
                    "code": "20045",
                    "display": "Syncope"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                }
              ],
              "linkId": "675849150752",
              "text": "Valvular Heart Disease or Prosthetic Heart Valve",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "choice",
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "368009",
                    "display": "Valvular heart disease"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "check-box",
                        "display": "Check-box"
                      }
                    ]
                  }
                }
              ],
              "linkId": "721982740516",
              "text": "Other",
              "_text": {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                    "valueString": "<br/>"
                  },
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                    "valueString": "display:none;"
                  }
                ]
              },
              "type": "choice",
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                    "code": "OTH",
                    "display": "other"
                  }
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                  "valueString": "background-color:white;border-style:solid;"
                }
              ],
              "linkId": "720594942482",
              "text": "Specify",
              "type": "text",
              "enableWhen": [
                {
                  "question": "721982740516",
                  "operator": "=",
                  "answerCoding": {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                    "code": "OTH",
                    "display": "other"
                  }
                }
              ],
              "required": true
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
              "valueString": "background-color:white;border-style:solid;"
            }
          ],
          "linkId": "Descriptionofclinicalquestion",
          "text": "Clinical Question / Goal(s) of Referral with Relevant History, Management and Investigations",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "Clinical&#xa0;Question&#xa0;/&#xa0;Goal(s)&#xa0;of&#xa0;Referral&#xa0;with&#xa0;Relevant&#xa0;History,&#xa0;Management&#xa0;and&#xa0;Investigations<br/>"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                "valueString": "font-weight:bold;"
              }
            ]
          },
          "type": "text",
          "required": true
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
          "valueString": "background-color:grey;border-style:solid;"
        }
      ],
      "linkId": "cpp_header",
      "text": "Cumulative Patient Profile Please delete any sensitive information you do not intend to share from the CPP",
      "_text": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
            "valueString": "Cumulative Patient Profile<br/><br/><i>Please delete any sensitive information you do not intend to share from the CPP</i>"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
            "valueString": "font-weight:bold;"
          }
        ]
      },
      "type": "group",
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "check-box",
                    "display": "Check-box"
                  }
                ]
              }
            }
          ],
          "linkId": "cpp_separate",
          "text": "CPP attached separately (if not entered below)",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "<br/>"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                "valueString": "display:none;"
              }
            ]
          },
          "type": "string",
          "repeats": true,
          "answerOption": [
            {
              "valueString": "CPP attached separately (if not entered below)"
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
              "valueString": "background-color:white;border-style:solid;"
            }
          ],
          "linkId": "cpp_currentprob",
          "code": [
            {
              "system": "http://snomed.info/sct",
              "code": "55607006",
              "display": "Problem"
            }
          ],
          "text": "Current Problem List:",
          "type": "text",
          "enableWhen": [
            {
              "question": "cpp_separate",
              "operator": "exists",
              "answerBoolean": false
            }
          ],
          "enableBehavior": "all"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
              "valueString": "background-color:white;border-style:solid;"
            }
          ],
          "linkId": "cpp_pastmedicalhistory",
          "code": [
            {
              "system": "http://snomed.info/sct",
              "code": "417662000",
              "display": "History of clinical finding in subject"
            }
          ],
          "text": "Past Medical History:",
          "type": "text",
          "enableWhen": [
            {
              "question": "cpp_separate",
              "operator": "exists",
              "answerBoolean": false
            }
          ],
          "enableBehavior": "all"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
              "valueString": "background-color:white;border-style:solid;"
            }
          ],
          "linkId": "cpp_currentmedications",
          "code": [
            {
              "system": "http://snomed.info/sct",
              "code": "129019007",
              "display": "Taking medication"
            }
          ],
          "text": "Current Medications :",
          "type": "text",
          "enableWhen": [
            {
              "question": "cpp_separate",
              "operator": "exists",
              "answerBoolean": false
            }
          ],
          "enableBehavior": "all"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
              "valueString": "background-color:white;border-style:solid;"
            }
          ],
          "linkId": "cpp_familyhistory",
          "code": [
            {
              "system": "http://snomed.info/sct",
              "code": "57177007",
              "display": "Family history with explicit context"
            }
          ],
          "text": "Family History:",
          "type": "text",
          "enableWhen": [
            {
              "question": "cpp_separate",
              "operator": "exists",
              "answerBoolean": false
            }
          ],
          "enableBehavior": "all"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
              "valueString": "background-color:white;border-style:solid;"
            }
          ],
          "linkId": "cpp_allergies",
          "code": [
            {
              "system": "http://snomed.info/sct",
              "code": "609328004",
              "display": "Allergic disposition"
            }
          ],
          "text": "Allergies:",
          "type": "text",
          "enableWhen": [
            {
              "question": "cpp_separate",
              "operator": "exists",
              "answerBoolean": false
            }
          ],
          "enableBehavior": "all"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
          "valueString": "background-color:grey;border-style:solid;"
        }
      ],
      "linkId": "preferredconsultlocation_header",
      "text": "Preferred Consultant or Location All patients will be triaged to the shortest wait time unless a preferred consultant or location is entered.",
      "_text": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
            "valueString": "<b>Preferred Consultant or Location</b><br/><br/>All patients will be triaged to the shortest wait time unless a preferred consultant or location is entered."
          }
        ]
      },
      "type": "group",
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "check-box",
                    "display": "Check-box"
                  }
                ]
              }
            }
          ],
          "linkId": "preferredconsultlocation_selector",
          "text": "Preferred consultant or location",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "<br/>"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                "valueString": "display:none;"
              }
            ]
          },
          "type": "string",
          "repeats": true,
          "answerOption": [
            {
              "valueString": "Preferred consultant or location"
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
              "valueString": "background-color:white;border-style:solid;"
            }
          ],
          "linkId": "preferredconsultlocation_specify",
          "text": "Please specify either a preferred consultant or location",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "Please specify either a <b>preferred</b> consultant or location"
              }
            ]
          },
          "type": "group",
          "enableWhen": [
            {
              "question": "preferredconsultlocation_selector",
              "operator": "=",
              "answerString": "Preferred consultant or location"
            }
          ],
          "item": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                  "valueString": "border-style:solid;"
                }
              ],
              "linkId": "preferredconsultlocation_consultant",
              "text": "Consultant:",
              "type": "string"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                  "valueString": "border-style:solid;"
                }
              ],
              "linkId": "preferredconsultlocation_location",
              "text": "Location:",
              "type": "string"
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "check-box",
                    "display": "Check-box"
                  }
                ]
              }
            }
          ],
          "linkId": "preferredconsultlocation_willingtotravel",
          "text": "Patient willing to travel for shorter wait time",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "<br/>"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                "valueString": "display:none;"
              }
            ]
          },
          "type": "string",
          "repeats": true,
          "answerOption": [
            {
              "valueString": "Patient willing to travel for shorter wait time"
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
              "valueString": "background-color:white;border-style:solid;"
            }
          ],
          "linkId": "preferredconsultlocation_otherconsiderations",
          "text": "Other considerations:",
          "type": "string"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
          "valueString": "background-color:grey;border-style:solid;"
        }
      ],
      "linkId": "supportingdocumentation_header",
      "text": "Supporting Documentation Please attach all relevant laboratory and diagnostic investigations.",
      "_text": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
            "valueString": "<b>Supporting&#xa0;Documentation</b><br/>Please&#xa0;attach&#xa0;all&#xa0;<b><span style=\"text-decoration: underline\">relevant</span></b>&#xa0;laboratory&#xa0;and&#xa0;diagnostic&#xa0;investigations.<br/>"
          }
        ]
      },
      "type": "group",
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "check-box",
                    "display": "Check-box"
                  }
                ]
              }
            }
          ],
          "linkId": "supportingdocumentation_details",
          "text": "Personal Health Information that is medically relevant has not been disclosed at the request of the patient.",
          "_text": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString": "<br/>"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
                "valueString": "display:none;"
              }
            ]
          },
          "type": "string",
          "repeats": true,
          "answerOption": [
            {
              "valueString": "Personal Health Information that is medically relevant has not been disclosed at the request of the patient."
            }
          ]
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/mimeType",
          "valueCode": "application/pdf"
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/mimeType",
          "valueCode": "image/gif"
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/mimeType",
          "valueCode": "image/bmp"
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/mimeType",
          "valueCode": "application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/mimeType",
          "valueCode": "video/mp4"
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/mimeType",
          "valueCode": "text/csv"
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/mimeType",
          "valueCode": "image/jpeg"
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/mimeType",
          "valueCode": "application/msword"
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/mimeType",
          "valueCode": "image/png"
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/mimeType",
          "valueCode": "application/vnd.openxmlformats-officedocument.wordprocessingml.document"
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/mimeType",
          "valueCode": "application/vnd.ms-excel"
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/mimeType",
          "valueCode": "text/plain"
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/mimeType",
          "valueCode": "audio/mp4"
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/mimeType",
          "valueCode": "audio/mpeg"
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/mimeType",
          "valueCode": "image/tiff"
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/maxSize",
          "valueDecimal": 5000000
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
          "valueString": "background-color:grey;border-style:solid;"
        },
        {
          "extension": [
            {
              "url": "positiveText",
              "valueString": "Attachment Provided"
            }
          ],
          "url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info"
        }
      ],
      "linkId": "supportingdocumentation_attachment",
      "text": "Add Attachments",
      "type": "attachment"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
          "valueString": "background-color:grey;border-style:solid;"
        }
      ],
      "linkId": "feedbacksurvey_cardiology",
      "text": "Click here to provide feedback on this form",
      "_text": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
            "valueString": "<a href=\"https://www.surveymonkey.com/r/cardioSRF\">Click&#xa0;here&#xa0;to&#xa0;provide&#xa0;feedback&#xa0;on&#xa0;this&#xa0;form</a><br/>"
          }
        ]
      },
      "type": "display"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
          "valueString": "background-color:grey;border-style:solid;"
        }
      ],
      "linkId": "referrer_header",
      "text": "Referrer's Information",
      "_text": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
            "valueString": "font-weight:bold;"
          }
        ]
      },
      "type": "group",
      "item": [
        {
          "linkId": "referrer_sitename",
          "text": "Site Name:",
          "type": "string"
        },
        {
          "linkId": "referrer_address_line1",
          "text": "Address (Line 1):",
          "type": "string",
          "required": true,
          "item": [
            {
              "linkId": "referrer_address_line2",
              "text": "Address (Line 2):",
              "type": "string"
            },
            {
              "linkId": "referrer_address_city",
              "text": "City:",
              "type": "string",
              "required": true
            },
            {
              "linkId": "referrer_address_province",
              "text": "Province:",
              "type": "string",
              "required": true,
              "maxLength": 2
            },
            {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "key",
                      "valueId": "ref-pcode"
                    },
                    {
                      "url": "severity",
                      "valueCode": "error"
                    },
                    {
                      "url": "expression",
                      "valueExpression": {
                        "language": "text/fhirpath",
                        "expression": "%resource.repeat(item).where(linkId='referrer_address_postalcode').answer.all(value.matches('^(?!.*[DFIOQU])[A-VXY][0-9][A-Z] ?[0-9][A-Z][0-9]$'))"
                      }
                    },
                    {
                      "url": "human",
                      "valueString": "Must be a valid Canadian postal-code"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/targetConstraint"
                }
              ],
              "linkId": "referrer_address_postalcode",
              "text": "Postal Code:",
              "type": "string",
              "required": true
            }
          ]
        },
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "key",
                  "valueId": "refphone"
                },
                {
                  "url": "severity",
                  "valueCode": "error"
                },
                {
                  "url": "expression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%resource.repeat(item).where(linkId='referrer_phone').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
                  }
                },
                {
                  "url": "human",
                  "valueString": "Must be a valid phone number"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/targetConstraint"
            }
          ],
          "linkId": "referrer_phone",
          "text": "Phone #:",
          "type": "string"
        },
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "key",
                  "valueId": "reffax"
                },
                {
                  "url": "severity",
                  "valueCode": "error"
                },
                {
                  "url": "expression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%resource.repeat(item).where(linkId='referrer_fax').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
                  }
                },
                {
                  "url": "human",
                  "valueString": "Must be a valid phone number"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/targetConstraint"
            }
          ],
          "linkId": "referrer_fax",
          "text": "Fax #:",
          "type": "string"
        },
        {
          "linkId": "referrer_billing",
          "text": "Billing Number:",
          "type": "integer"
        },
        {
          "linkId": "referrer_professionalid",
          "text": "Professional ID:",
          "type": "integer"
        },
        {
          "linkId": "referrer_signature",
          "text": "Signed:",
          "type": "text",
          "required": true
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "drop-down",
                    "display": "Drop down"
                  }
                ]
              }
            }
          ],
          "linkId": "referrer_role",
          "text": "Role:",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "309398001",
                "display": "Profession allied to medicine"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "62247001",
                "display": "Family doctor"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "449161006",
                "display": "Physician assistant"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398130009",
                "display": "Medical student"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "106292003",
                "display": "Nurse"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "224571005",
                "display": "Nurse practitioner"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "405277009",
                "display": "Resident physician"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "69280009",
                "display": "Specialized physician"
              }
            },
            {
              "valueCoding": {
                "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                "code": "OTH",
                "display": "other"
              }
            }
          ]
        }
      ]
    }
  ]
}